Embolization of pulmonary arteriovenous malformations with electrolytically detachable coils in patients with hereditary hemorrhagic telangiectasia

被引:2
作者
Kress, O
Wollstein, AC
Wagner, HJ
Folz, BJ
Werner, JA
Klose, KJ
Alfke, H
机构
[1] Univ Marburg, Klin Strahlendiagnost, D-35033 Marburg, Germany
[2] Univ Marburg, Hals Nasen Ohren Klin, D-35037 Marburg, Germany
来源
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2004年 / 176卷 / 10期
关键词
arteriovenous malformations; pulmonary; therapeutic embolization; lung; vascular disease; angiography;
D O I
10.1055/s-2004-813367
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
Background: Pulmonary arteriovenous malformations (PAVM) can be found in approximately 20% to 35% of patients with hereditary hemorrhagic telangiectasia (HHT). PAVM should be treated since they are a source of paradoxical embolization, potentially resulting in severe neurologic complications. The treatment of choice is the enclovascular embolization with coils. Patients and Methods: Seven patients with HHT underwent superselective embolization of PAVM detected during screening for PAVM. Four patients had a single PAVM and one patient 3, 4 and 5 PAVMs, respectively. Electrolytically detachable coils were used for embolization. In addition, coils with synthetic fibers were used during 6 embolizations for completion of embolization. Results: Embolization was technically successful in all patients. Complete primary occlusion was achieved in all PAVM. No coil migration or occlusion of unaffected pulmonary arteries was observed. After embolization, one patient developed a small pleural effusion, which was treated symptomatically. Conclusion: As a minimally invasive procedure, superselective embolization is the treatment of choice in treating PAVM in patients with HHT. With the use of electrolytically detachable coils, the ideal coil size can be chosen and exact placement achieved without the risk of coil migration or occlusion of unaffected pulmonary arteries.
引用
收藏
页码:1501 / 1505
页数:5
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