Interventional occlusion of congenital vascular malformations

Xie, Chunhong; Xia, Cheng-sen; Gong, Fangqi; Zhou, Yin-Bao; Zhu, Weihua

doi:10.1007/s12519-009-0056-8

Cited by 11 publications

(10 citation statements)

References 21 publications

(20 reference statements)

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“…The cases in this study showed no severe complications, including limb necrosis and congestive heart failure, which may be associated with earlier identification of the lesion and timely clinical treatment. A number of studies have reported that after adulthood, CAVF presents various severe complications, including the steal syndrome, intractable ulcers and progressive heart failure (6,7). As CAVF has no self-healing tendency, diagnosis and treatment must be conducted as early as possible.…”

Section: Discussionmentioning

confidence: 99%

“…Acquired arteriovenous fistula is common in traumas and iatrogenic surgery, including acupuncture, moxibustion and femoral artery puncture (1–5). Puerile congenital arteriovenous fistula is rare in the clinic and it may occur at any site of body, including coronary arteriovenous, dural arteriovenous, spinal peripheral arteriovenous and pulmonary arteriovenous fistulae (6,7). Additionally, reports on puerile congenital deep femoral arteriovenous fistula are rare and its treatment methods mainly depend on surgery (8).…”

Section: Introductionmentioning

confidence: 99%

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Interventional embolization therapy of puerile congenital deep femoral arteriovenous fistula

Zhang

Tan

Zhou

et al. 2012

Experimental and Therapeutic Medicine

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This study aimed to investigate the treatment efficiency of interventional embolization therapy in puerile congenital deep femoral arteriovenous fistula. A retrospective analysis was conducted for 9 cases of congenital deep femoral arteriovenous fistulae treated in our department in the past 5 years. B-ultrasound examination indicated that all puerile patients suffered from deep femoral arteriovenous fistulae, which was confirmed by angiography examination. For all patients, endovascular interventional embolization therapy was conducted and angiography re-examination was implemented after 4 weeks. If there were residual orificium fistulae, the interventional embolization therapy was conducted again. In the 6 month to 2 year follow-up period, improvement of clinical symptoms was observed. Following interventional embolization, 9 cases of deep femoral arteriovenous fistulae were completely occluded and the clinical symptoms were improved. No relapses occurred. In addition, after three embolization treatments, the disease condition of one case was controlled well and the disease condition did not progress. Interventional embolization therapy has a number of advantages, including simple surgery and reliable treatment efficacy. Therefore, it is worthy of promotion and application in the clinic.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Interventional embolization therapy of puerile congenital deep femoral arteriovenous fistula

Zhang

Tan

Zhou

et al. 2012

Experimental and Therapeutic Medicine

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“…In our opinion, this may represent a shortcoming because different devices may be adequate according to specific vessel characteristics and in clinical practice a large variety of VM require treatment . Several factors may influence the effectiveness and safety of percutaneous occlusion of VM and the predictors of adverse outcome have not been completely addressed in previous studies .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, increasing expertise has allowed improvements in the technique of VM occlusion . Therefore, a variety of arterial and venous VM are currently closed percutaneously in many centers and this is usually the preferred treatment method if technically feasible .…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous occlusion of vascular malformations in pediatric and adult patients: 20‐Year Experience of a Single Center

Pereira-da-Silva

Martins

Sousa

et al. 2015

Cathet Cardio Intervent

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Objective: A case series on different vascular malformations (VM) treated with percutaneous occlusion in children and adults is presented. Background: Percutaneous occlusion is usually the preferred treatment method for VM. Previous series have mostly focused on single types of devices and/or VM. Methods: Retrospective analysis of all patients who underwent percutaneous occlusion of VM in a single center, from 1995 to 2014, excluding patent ductus arteriosus. Clinical and angiographic data, procedural details, implanted devices, and complications were assessed. Procedural success was defined as effective device deployment with none or minimal residual flow. Predictors of procedural failure and complications were determined by multivariate analysis. Results: A total of 123 VM were intervened in 47 patients with median age of 12 years (25 days-76 years). The VM included 55 pulmonary arteriovenous fistulae, 39 aortopulmonary collaterals, 10 systemic venovenous collaterals, 8 peripheral arteriovenous fistulae, 5 Blalock-Taussig shunts, 4 coronary fistulae, and 2 Fontan fenestrations. The 143 devices used included 80 vascular plugs, 38 coils, 22 duct occluders, and 3 foramen ovale or atrial septal defect occluders. Median vessel size was 4.5 (2.0-16.0) mm and device/vessel size ratio was 1.4 (1.1-2.0). Successful occlusion was achieved in 118 (95.9%) VM, including three reinterventions. Four (3.3%) clinically relevant complications occurred, without permanent sequelae. Lower body weight was independently associated with procedural failure and complications. Conclusion: To our knowledge, this is the largest series on different VM occluded percutaneously in children and adults, excluding patent ductus arteriosus. Percutaneous occlusion was effective and safe, using different devices. V C 2015 Wiley Periodicals, Inc.

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Bronchopulmonary Sequestration

Tovar

2013

Pediatric Thoracic Surgery

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Interventional occlusion of congenital vascular malformations

Abstract: Transcatheter closure using coils is a safe and effective alternative to surgical ligation in the management of congenital vascular malformations in children. Selection of appropriate coils is important to achieve a better outcome.

Cited by 11 publications

References 21 publications

Interventional embolization therapy of puerile congenital deep femoral arteriovenous fistula

Interventional embolization therapy of puerile congenital deep femoral arteriovenous fistula

Percutaneous occlusion of vascular malformations in pediatric and adult patients: 20‐Year Experience of a Single Center

Bronchopulmonary Sequestration

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