Embolization of a pulmonary arteriovenous fistula by electrolytic detachable coils: case report.

Y. C. Cheung*, H. F. Wong, Shu-Hang Ng, K. K. Ng, Y. L. Wan

*此作品的通信作者

研究成果: 期刊稿件文章同行評審

摘要

Transarterial embolization with detachable coils is a technique commonly used for the treatment of intracranial aneurysms. We report on a patient with a pulmonary arteriovenous fistula (PAVF) treated successfully with this technique. The patient presented with a history of intermittent hemoptysis, nasal bleeding, numbness of the upper extremities, and seizures. Computed tomographic angiography and magnetic resonance angiography demonstrated a single-hole arteriovenous fistular lesion in the left lower lung. Pre-embolization superselective pulmonary angiography revealed multiple fistulae communicating to the venous sac of the lesion. Eleven detachable coils were deployed into the venous sac, with resultant total occlusion of the pulmonary arteriovenous fistula. We conclude that venous sac embolization in treating this kind of patients is effective. The combined use of a microcatheter system and electrolytic detachable coils may be an excellent technique for achieving this kind of embolization. Superselective angiographic evaluation is essential before embolization, because many occult feeders can be present in cases of high-flow PAVF.

原文英語
頁(從 - 到)33-37
頁數5
期刊Chang Gung Medical Journal
23
發行號1
出版狀態已出版 - 01 2000

Keywords

  • 分離式線圈
  • 治療技術
  • 肺動靜脈血管?管
  • 血管攝影
  • 血管栓塞治療

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