Recanalization after coil embolotherapy of pulmonary arteriovenous malformations: Study of long-term outcome and mechanism for recanalization

被引:90
作者
Sagara, K [1 ]
Miyazono, N [1 ]
Inoue, H [1 ]
Ueno, K [1 ]
Nishida, H [1 ]
Nakajo, M [1 ]
机构
[1] Kagoshima Univ, Fac Med, Dept Radiol, Kagoshima 890, Japan
关键词
D O I
10.2214/ajr.170.3.9490963
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. We investigated the efficacy of steel coils for embolotherapy of pulmonary arteriovenous malformations (PAVMs) by reimaging the embolized PAVMs. CONCLUSION. We found a high incidence (57%; 8/14) of recanalization in PAVMs embolized with steel coils. Contrast-enhanced CT is useful for detection of recanalized PAVMs. Half of the recanalized PAVMs were fed by bronchial artery branches. Thus, coil embolization should be performed as close as possible to the PAVM to avoid future development of bronchial artery-to-pulmonary artery anastomoses that may cause recanalization.
引用
收藏
页码:727 / 730
页数:4
相关论文
共 11 条
[1]   Systemic supply to a pulmonary arteriovenous malformation: Potential explanation for recurrence [J].
DeWispelaere, JF ;
Trigaux, JP ;
Weynants, P ;
Delos, M ;
DeCoene, B .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1996, 19 (04) :285-287
[2]   COIL EMBOLIZATION OF PULMONARY ARTERIOVENOUS-MALFORMATIONS [J].
HARTNELL, GG ;
JACKSON, JE ;
ALLISON, DJ .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1990, 13 (06) :347-350
[3]   PULMONARY ARTERIOVENOUS-MALFORMATIONS RELATED TO RENDU-OSLER-WEBER SYNDROME [J].
MCCUE, CM ;
HARTENBERG, M ;
NANCE, WE .
AMERICAN JOURNAL OF MEDICAL GENETICS, 1984, 19 (01) :19-27
[4]   CLINICAL-RESULTS OF TRANSVENOUS SYSTEMIC EMBOLOTHERAPY WITH A NEURORADIOLOGIC DETACHABLE BALLOON [J].
POLLAK, JS ;
EGGLIN, TK ;
ROSENBLATT, MM ;
DICKEY, KW ;
WHITE, RI .
RADIOLOGY, 1994, 191 (02) :477-482
[5]  
Porstmann W., 1977, CURRENT CONCEPTS PED, P23, DOI [10.1007/978-1-4471-1288-4_3, DOI 10.1007/978-1-4471-1288-4_3]
[6]   PULMONARY ARTERIOVENOUS-MALFORMATIONS - EVALUATION WITH CT OF THE CHEST BEFORE AND AFTER TREATMENT [J].
REMY, J ;
REMYJARDIN, M ;
WATTINNE, L ;
DEFFONTAINES, C .
RADIOLOGY, 1992, 182 (03) :809-816
[7]   TRANSCATHETER OCCLUSION OF PULMONARY ARTERIAL CIRCULATION AND COLLATERAL SUPPLY - FAILURES, INCIDENTS, AND COMPLICATIONS [J].
REMYJARDIN, M ;
WATTINNE, L ;
REMY, J .
RADIOLOGY, 1991, 180 (03) :699-705
[8]   CHRONIC MULTIPLE PULMONARY EMBOLI - REGIONAL RESPONSE OF THE BRONCHIAL CIRCULATION [J].
SHERRIER, RH ;
CHILES, C ;
NEWMAN, GE .
INVESTIGATIVE RADIOLOGY, 1989, 24 (06) :437-441
[9]   THERAPEUTIC EMBOLIZATION OF PULMONARY-ARTERY IN PULMONARY ARTERIOVENOUS-FISTULA [J].
TAYLOR, BG ;
COCKERILL, EM ;
MANFREDI, F ;
KLATTE, EC .
AMERICAN JOURNAL OF MEDICINE, 1978, 64 (02) :360-365
[10]   BALLOON EMBOLIZATION FOR TREATMENT OF PULMONARY ARTERIOVENOUS-FISTULAS [J].
TERRY, PB ;
BARTH, KH ;
KAUFMAN, SL ;
WHITE, RI .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 302 (21) :1189-1190