[1]吴 宇,李文兰,刘 源.肺动静脉畸形的影像学诊断及介入治疗现状[J].介入放射学杂志,2024,33(04):454-458.
 WU Yu,LI Wenlan,LIU Yuan..Current status of imaging diagnosis and interventional therapy for pulmonary arteriovenous malformations[J].journal interventional radiology,2024,33(04):454-458.
点击复制

肺动静脉畸形的影像学诊断及介入治疗现状()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年04
页码:
454-458
栏目:
综述
出版日期:
2024-05-04

文章信息/Info

Title:
Current status of imaging diagnosis and interventional therapy for pulmonary arteriovenous malformations
作者:
吴 宇 李文兰 刘 源
Author(s):
WU Yu LI Wenlan LIU Yuan.
Department of Interventional Oncology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province 610072, China
关键词:
【关键词】 肺动静脉畸形 遗传性出血性毛细血管扩张症 影像学诊断 介入治疗
文献标志码:
A
摘要:
【摘要】 肺动静脉畸形是一种与遗传性出血性毛细血管扩张症相关的先天性肺血管畸形,其中异常扩张的血管在肺循环和体循环之间产生了无毛细血管干预的直接通路。临床上主要表现为低氧血症、呼吸困难、中风、脑脓肿、肺出血等。目前肺动静脉畸形的诊断主要依靠影像学,治疗主要通过介入手段进行血管内栓塞供血动脉,栓塞后可以有效缓解临床症状,预防相关并发症。本文就肺动静脉畸形的形成机制、临床表现、影像学表现以及介入治疗等方面的现状进行综述。

参考文献/References:

[1] Müller- Hülsbeck S,Marques L,Maleux G,et al. CIRSE standards of practice on diagnosis and treatment of pulmonary arteriovenous malformations[J]. Cardiovasc Intervent Radiol, 2020, 43: 353- 361.
[2] Shovlin CL,Simeoni I,Downes K,et al. Mutational and phenotypic characterization of hereditary hemorrhagic telangiectasia[J]. Blood, 2020,136:1907- 1918.
[3] Shovlin CL. Pulmonary arteriovenous malformations[J].AmJ Respir Crit Care Med, 2014, 190:1217- 1228.
[4] Shovlin CL, Buscarini E, Sabba C, et al. The European rare disease network for HHT frameworks for management of hereditary haemorrhagic telangiectasia in general and speciality care[J]. Eur J Med Genet, 2022, 65: 104370.
[5] Anderson E, Sharma L, Alsafi A, et al. Pulmonary arteriovenous malformations may be the only clinical criterion present in genetically confirmed hereditary haemorrhagic telangiectasia[J]. Thorax, 2022, 77: 628- 630.
[6] Cusumano LR, Duckwiler GR, Roberts DG, et al. Treatment of recurrent pulmonary arteriovenous malformations: comparison of proximal versus distal embolization technique[J]. Cardiovasc Intervent Radiol,2020,43:29- 36.
[7] Tellapuri S, Park HS, Kalva SP.Pulmonary arteriovenous malformations[J]. Int J Cardiovasc Imaging, 2019, 35, 1421- 1428.
[8] Contegiacomo A,del Ciello A,Rella R,et al. Pulmonary arteriovenous malformations: what the interventional radiologist needs to know[J]. Radiol Med, 2019, 124: 973- 988.
[9] Salibe- Filho W, Piloto BM, Oliveira EPD, et al. Pulmonary arteriovenous malformations: diagnostic and treatment charac- teristics[J]. J Bras Pneumol, 2019, 45: e20180137.
[10] Alicea- Guevara R, Cruz Caliz M, Adorno J, et al. Life- threatening hemoptysis: case of Osler- Weber- Rendu syndrome[J]. Oxf Med Case Reports,2018,2018:omx108.
[11] Etievant J,Si- Mohamed S,Vinurel N,et al. Pulmonary arteriovenous malformations in hereditary haemorrhagic telangiectasia: correlations between computed tomography findings and cerebral complications[J]. Eur Radiol, 2018, 28: 1338- 1344.
[12] Vorselaars VMM, Velthuis S, Huitema MP, et al. Reproducibility of right- to- left shunt quantification using transthoracic contrast echocardiography in hereditary haemorrhagic telangiectasia[J]. Neth Heart J, 2018, 26: 203- 209.
[13] Gazzaniga P,Buscarini E,Leandro G,et al. Contrast echocar- diography for pulmonary arteriovenous malformations screening: does any bubble matter?[J]. Eur J Echocardiogr, 2009, 10: 513- 518.
[14] Salibe- Filho W,Oliveira FRD,Terra- Filho M. Update on pulmonary arteriovenous malformations[J]. J Bras Pneumol, 2023, 49: e20220359.
[15] Andersen PE, Torring PM, Kjeldsen AD, et al. Pulmonary arte- riovenous malformations. A radiological and clinical investiga- tion of 136 patients with long- term follow- up[J]. Clin Radiol, 2018, 73: 951- 957.
[16] Boussel L,Cernicanu A,Geerts L,et al. 4D time- resolved magnetic resonance angiography for noninvasive assessment of pulmonary arteriovenous malformations patency[J]. J Magn Reson Imaging, 2010, 32: 1110- 1116.
[17] Schneider G, Uder M, Koehler M, et al. MR angiography for detection of pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia[J]. AJR Am J Roentgenol, 2008, 190: 892- 901.
[18] Hamamoto K, Matsuura K, Chiba E, et al. Feasibility of non- contrast- enhanced MR angiography using the time- SLIP tech- nique for the assessment of pulmonary arteriovenous malforma- tion[J]. Magn Reson Med Sci, 2016,15:253- 265.
[19] Dupuis- Girod S, Cottin V, Shovlin CL. The lung in hereditary hemorrhagic telangiectasia[J]. Respiration, 2017, 94: 315- 330.
[20] Hsu CC, Kwan GN, Evans- Barns H, et al. Embolisation for pulmonary arteriovenous malformation[J]. Cochrane Database Syst Rev,2018,1:CD008017.
[21] Pollak JS, White RI. Distal cross- sectional occlusion is the key totreating pulmonary arteriovenous malformations[J]. J Vasc IntervRadiol, 2012,23:1678- 1680.
[22] Yap CW, Wee BBK, Yee SY, et al. The role of interventional radiology in the diagnosis and treatment of pulmonary arteriovenous malformations[J]. J Clin Med, 2022, 11: 6282.
[23] Kuczynska M, Pyra K, Swiatlowski L, et al. Endovascular embolisation strategies for pulmonary arteriovenous malformations[J]. Pol J Radiol, 2018, 83: e189- e196.
[24] Adachi A, Ohta K, Jahangiri Y, et al. Treatment of pulmonary arteriovenous malformations: clinical experience using different embolization strategies[J]. Jpn J Radiol, 2020, 38: 382- 386.
[25] White RIJ. Pulmonary arteriovenous malformations: how do I embolize?[J]. Tech Vasc Interv Radiol, 2007, 10: 283- 290.
[26] Kramdhari H,Valakkada J,Ayyappan A. Diagnosis and endovascular management of pulmonary arteriovenous malformations[J]. Br J Radiol, 2021, 94: 20200695.
[27] Shimohira M, Kawai T, Hashizume T, et al. Correction to: usefulness of hydrogel-coated coils in embolization of pulmonary arteriovenous malformations[J]. Cardiovasc Intervent Radiol, 2018, 41: 1140- 1140.
[28] Kato K, Kawashima K, Suzuki T, et al. Embolization of medium- sized vessels with the penumbra occlusion device: evaluation of anchoring function[J]. CVIR Endovasc, 2020, 3: 24.
[29] Tresley J, Bhatia S, Kably I, et al. Amplatzer vascular plug as an embolic agent in different vascular pathologies: a pictorial essay[J]. Indian J Radiol Imaging, 2016, 26: 254- 261.
[30] Tau N, Atar E, Mei- Zahav M, et al. Amplatzer vascular plugs versus coils for embolization of pulmonary arteriovenous malformations in patients with hereditary hemorrhagic telangiectasia[J]. Cardiovasc Intervent Radiol, 2016, 39: 1110- 1114.
[31] Mahdjoub E, Tavolaro S, Parrot A, et al. Pulmonary arteriovenous malformations: safety and efficacy of microvascular plugs[J]. AJR Am J Roentgenol, 2018, 211: 1135- 1143.
[32] Conrad MB, Ishaque BM, Surman AM, et al. Intraprocedural safety and technical success of the MVP micro vascular plug for embolization of pulmonary arteriovenous malformations[J]. J Vasc Interv Radiol, 2015, 26: 1735- 1739.
[33] Fish A, Henderson K, Moushey A, et al. Incidence of spontaneous pulmonary AVM rupture in HHT patients[J]. J Clin Med, 2021, 10: 4714.
[34] Fish A, Chan SM, Pollak J, et al. Twenty- seven- year retrospective review of hemoptysis from systemic collaterals following pulmonary arteriovenous malformation embolization[J]. Cardiovasc Intervent Radiol, 2023, 46: 670- 674.
[35] Nagano M, Ichinose J, Sasabuchi YSE, et al. Surgery versus percutaneous transcatheter embolization for pulmonary arterio- venous malformation: analysis of a National inpatient database in Japan[J]. J Thorac Cardiovasc Surg, 2017, 154: 1137- 1143.
[36] Majumdar S,McWilliams JP. Approach to pulmonary arterio- venous malformations: a comprehensive update[J]. J Clin Med, 2020, 9: 1927.
[37] Chambers DC, Yusen RD, Cherikh WS, et al. The registry of the international society for heart and lung transplantation: thirty- fourth adult lung and heart- lung transplantation report- 2017; focus theme: allograft ischemic time[J]. J Heart Lung Transplant, 2017, 36: 1047- 1059.
[38] 李娟娟,周 舟,邓 娟,等. 遗传性出血性毛细血管扩张症合并肺动静脉畸形栓塞治疗2例[J]. 介入放射学杂志, 2019,28:1219- 1221.
(收稿日期:2023- 03- 24)

备注/Memo

备注/Memo:
(本文编辑:新 宇)
更新日期/Last Update: 2024-05-04