经导管血管内栓塞术治疗肢体动静脉畸形(附6例分析)  

Transcatheter Endovascular Embolization in the Treatment of Extremity Arteriovenous Malformation: Report of 6 Cases

作　　者：郝刚[1] 孔铭新[1] 耿威[2] 坚永彬[1] 

机构地区：[1]山东省潍坊市人民医院介入放射科,潍坊261041 [2]吉林省吉林市中心医院介入心内科,吉林32001

出　　处：《中国医学影像学杂志》2004年第2期116-117,145,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :评价先天性肢体动静脉畸形血管内栓塞治疗的有效性和安全性。材料和方法 :6例临床诊断为肢体动静脉畸形的患者 ,常规行患肢动脉DSA检查 ,对动静脉瘘 (AVF)和畸形血管团分别超选择动脉内栓塞治疗 ,AVF选用弹簧圈 ,畸形血管团用无水酒精或平阳霉素碘化油乳剂栓塞。结果 :超选择动脉栓塞技术均成功 ,6例患者栓塞后血管异常杂音及临床症状消除。随访 6～ 13个月 6例患者均无严重并发症发生。结论 :动脉DSA检查是诊断先天性肢体动静脉畸形最有效方法 ,而血管内栓塞术是安全有效的微创治疗方法。Purpose: To evaluate the effectiveness and safety of endovascular embolization in the treatment of congenital extremity arteriovenous malformation(CAVM). Materials and Methods: 6 patients with extremity CAVM underwent arterial DSA examination, arteriovenous fistulas(AVF) and nidus were treated with superselective arterial embolization technique. Coils were used as embolic agent for AVF and ethanol or pingyangmycinum iodized oil emulsion for nidus. Results: Embolization technique was successful in all patients with CAVM. As a result, symptoms and organic vessel murmur were disappeared in all patients. In follow up of 6-13months , there was no complication in all patients. Conclusion: Arterial DSA examination is the most valuable method for diagnosis of extremity CAVM and endovascular embolization is an effective and safe for treatment of CAVM.

关 键 词：经导管血管内栓塞术 先天性肢体动静脉畸形 微创治疗 临床资料 

分 类 号：R543.5[医药卫生—心血管疾病] R654.3[医药卫生—内科学]