PAVM Embolization: An Update

被引:101
作者
Trerotola, Scott O. [1 ,2 ]
Pyeritz, Reed E. [2 ,3 ,4 ]
机构
[1] Dept Radiol, Div Intervent Radiol, Philadelphia, PA 19104 USA
[2] Penn HHT Ctr Excellence, Philadelphia, PA USA
[3] Univ Penn Med Ctr, Univ Penn Sch Med, Dept Med, Div Med Genet, Philadelphia, PA USA
[4] Univ Penn Med Ctr, Univ Penn Sch Med, Ctr Integrat Genet Healthcare Technol, Philadelphia, PA USA
关键词
embolization; hemorrhagic telangiectasia (HHT); pulmonary arteriovenous malformation (PAVM); PULMONARY ARTERIOVENOUS-MALFORMATIONS; HEREDITARY HEMORRHAGIC TELANGIECTASIA; DIGITAL SUBTRACTION; LIVER INVOLVEMENT; MULTIDETECTOR CT; HELICAL CT; EMBOLOTHERAPY; FISTULAS; COIL; OCCLUSION;
D O I
10.2214/AJR.10.5230
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Pulmonary arteriovenous malformations (PAVMs) are most often associated with hereditary hemorrhagic telangiectasia. Untreated, they represent a serious threat due to paradoxical embolization that may manifest as stroke or brain abscess. PAVM treatment is challenging even in the most experienced hands. CONCLUSION. Fortunately, new tools and techniques are emerging that may improve the outcomes associated with embolization and reduce some of the risks associated with treating these high-flow lesions. New trends in overall PAVM management are also developing.
引用
收藏
页码:837 / 845
页数:9
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