Transcatheter Arterial Embolotherapy of Large Peripheral AVMs: Two Cases Report

大型週邊動靜脈畸型經動脈血管栓塞術：二個病例報告

呂佳穎(Chia-Ying Lu) ； 吳定國(Ding-Kwo Wu) ； 王建國(Chien-Kuo Wang) ； 劉金昌(Gin-Ghung Liu)

《中華放射線醫學雜誌》 27卷3期 (2002/06) Pp. 123-128

摘要

周邊先天性動靜脈畸型的治療對臨床醫師是一大挑戰，在無法以手術完全切除的動靜脈畸型，血管栓塞術是另一種選擇。我們報告兩個在下肢的大型動靜脈畸型病例，開刀後發現無法完全切除且傷口持續滲血及癒合不良，嘗試經動脈血管栓塞術治療，其症狀皆有大幅改善，而且並沒有明顯的合併症出現。

關鍵字

動靜脈畸型 ； 四肢經動脈血管栓塞術

並列摘要

Treatment for congenital arteriovenous malformation (AVM) of peripheral vessel is a challenge. In unresectable AVM, embolization is an alternative treatment modality. We report two cases of large AVMs at lower extremities. Transcatheter arterial embolization (TAE) was done after attempted surgery which was complicated by persistent wound oozing and poor wound healing. Polyvinyl alcohol particles and gelfoam pledgets were used as embolizing materials. The outcome is satisfactory without complication.

並列關鍵字

Arteriovenous malformation ； Extremities ； transcatheter arterial embolization