[1]赵 磊,徐伟洋,皮梦奇,等.50%乙醇栓塞治疗儿童YakesⅣ型动静脉畸形[J].介入放射学杂志,2023,32(11):1071-1074.
 ZHAO Lei,XU Weiyang,PI Mengqi,et al.Embolization therapy using 50% concentration ethanol for Yakes type Ⅳ arteriovenous malformations in child patients[J].journal interventional radiology,2023,32(11):1071-1074.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年11
页码:
1071-1074
栏目:
血管介入
出版日期:
2023-11-30

文章信息/Info

Title:
Embolization therapy using 50% concentration ethanol for Yakes type Ⅳ arteriovenous malformations in child patients
作者:
赵 磊 徐伟洋 皮梦奇 徐 淼 丁 语
Author(s):
ZHAO Lei XU Weiyang PI Mengqi XU Miao DING Yu.
Affiliated Children’s Hospital of Zhengzhou University, Zhengzhou, Henan Province 450000, China
关键词:
【关键词】 动静脉畸形 介入栓塞 乙醇 YakesⅣ型
文献标志码:
A
摘要:
【摘要】 目的 探讨50%乙醇经微导管栓塞治疗儿童YakesⅣ型动静脉畸形(AVM)的安全性和有效性。方法 回顾性分析7例YakesⅣ型AVM患儿的临床资料,局部直接穿刺病变失败后,采用微导管超选病变供血动脉推注50%乙醇,观察疗效、不良反应和并发症。结果 7例患儿均成功实施超选择性AVM栓塞术,共进行了24次栓塞。2例出现皮肤水疱,5例出现局部肿胀,未出现皮肤坏死、神经损伤等严重并发症。术后随访6~12个月,病变消退率为50%~80%,7例治疗效果达到好转。 结论 50%乙醇经微导管栓塞治疗儿童YakesⅣ型AVM安全有效,为局部直接穿刺失败的患者提供了补救治疗方式。

参考文献/References:

[1] 国际血管联盟中国分部血管畸形专家委员会. 动静脉畸形诊断与介入治疗专家共识[J]. 中国血管外科杂志(电子版), 2020,12:180- 184.
[2] Liu AS, Mulliken JB, Zurakowski D, et al. Extracranial arteriovenous malformations:natural progression and recurrence after treatment[J]. Plast Reconstr Surg, 2010, 125: 1185- 1194.
[3] 李 晓. 动静脉畸形的Yakes分类[J]. 上海口腔医学, 2017, 26:515.
[4] 中华医学会整形外科分会血管瘤和脉管畸形学组. 血管瘤和脉管畸形的诊断及治疗指南(2019版)[J]. 组织工程与重建外科杂志, 2019, 15:277- 317.
[5] 韩 琨,孟 箭,张 杰,等. 经皮穿刺数字减影血管造影引导下无水乙醇介入栓塞治疗口腔颌面部动静脉畸形[J]. 中华口腔医学研究杂志(电子版), 2016, 10:267- 271.
[6] 李 臻,余 鹏,詹鹏超,等. 肢体动静脉畸形介入治疗效果初探[J]. 介入放射学杂志, 2022, 31:290- 293.
[7] Li X, Su L, Yang X, et al. Embolotherapy for high- flow arterio-venous malformations in the hands using absolute ethanol with coil- assisted dominant outflow vein occlusion[J]. J Vasc Interv Radiol, 2019, 30: 813- 821.
[8] Enjolras O. Classification and management of the various superficial vascular anomalies: hemangiomas and vascular malformations[J]. J Dermatol, 1997, 24: 701- 710.
[9] Yakes W, Yakes A, Rohlffs F, et al. Current controversies and the state of the art in endovascular treatment of vascular malformations[J]. J Intervent Med, 2018, 1: 65- 69.
[10] White RIJ, Pollak J, Persing J, et al. Long- term outcome of embolotherapy and surgery for high- flow extremity arteriovenous malformations[J]. J Vasc Interv Radiol, 2000, 11: 1285- 1295.
[11] Dinh Luan N, Minh Hien T, Anh Huy L, et al. Diagnosis and management of calcaneal Yakes type IV AVM: two case reports[J]. Radiol Case Rep, 2021, 16: 3621- 3627.
[12] Bouwman FCM, Botden SMBI, Verhoeven BH, et al. Treatment outcomes of embolization for peripheral arteriovenous malformations[J]. J Vasc Interv Radiol , 2020, 31: 1801- 1809.
[13] Lee KB, Kim DI, Oh SK, et al. Incidence of soft tissue injury and neuropathy after embolo/sclerotherapy for congenital vascular malformation[J]. J Vasc Surg, 2008, 48: 1286- 1291.
[14] Vogelzang RL, Atassi R, Vouche M, et al. Ethanol embolotherapy of vascular malformations: clinical outcomes at a single center[J]. J Vasc Interv Radiol, 2014, 25: 206- 213.
[15] Yakes W, Huguenot M, Yakes A, et al. Percutaneous embolization of arteriovenous malformations at the plantar aspect of the foot[J]. J Vasc Surg, 2016, 64: 1478- 1482.
[16] Ali S, Weiss CR, Sinha A, et al. The treatment of venous malformations with percutaneous sclerotherapy at a single academic medical center[J]. Phlebology, 2016, 31: 603- 609.

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备注/Memo

备注/Memo:
(收稿日期:2022- 12- 23)
(本文编辑:新 宇)
更新日期/Last Update: 2023-11-30