采用血流阻断技术辅助下的静脉栓塞术治疗高流量血管畸形。
Treatment of high-flow vascular malformations by venous embolization aided by flow occlusion techniques.
作者信息
Jackson J E, Mansfield A O, Allison D J
机构信息
Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, London W12 OHS, UK.
出版信息
Cardiovasc Intervent Radiol. 1996 Sep-Oct;19(5):323-8. doi: 10.1007/BF02570183.
PURPOSE
Transvenous embolization techniques may be helpful as alternatives to the arterial route when treating high-flow vascular malformations. We present our experience using these techniques in four patients.
METHODS
In one patient the venous portion of the arteriovenous malformation (AVM) was punctured directly; in the other three patients it was catheterized via a retrograde venous approach. Flow occlusion techniques were utilized in all patients during embolization, which was performed with absolute alcohol or N-butyl-2-cyanoacrylate.
RESULTS
Excellent clinical and angiographic results were obtained, with obliteration of arteriovenous shunting in all patients. There were no complications.
CONCLUSION
The embolization of certain AVMs using a venous approach is a safe and effective treatment.
目的
在治疗高流量血管畸形时，经静脉栓塞技术作为动脉途径的替代方法可能会有所帮助。我们介绍我们在四名患者中使用这些技术的经验。
方法
一名患者的动静脉畸形（AVM）静脉部分被直接穿刺；其他三名患者通过逆行静脉途径进行插管。在所有患者的栓塞过程中均采用血流闭塞技术，栓塞剂使用无水乙醇或N-丁基-2-氰基丙烯酸酯。
结果
获得了出色的临床和血管造影结果，所有患者的动静脉分流均消失。无并发症发生。
结论
采用静脉途径栓塞某些AVM是一种安全有效的治疗方法。
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