冠状动脉至肺动脉瘘栓塞的策略方法:技术注意事项。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica Pub Date : 2024-12-16 DOI:10.1177/02841851241300332
Michael Johannes Montag, Stefan Möhlenkamp, Martha von Dohna
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引用次数: 0

摘要

背景:先天性冠状动脉肺动脉瘘(CPAFs)是极其罕见的先天性血管畸形。目的:提供一种实用的方法,并考虑CPAF血管内栓塞的技术挑战和陷阱:材料和方法:给出并演示CPAF逆行和顺行血管内栓塞的解剖学、技术和病理生理学注意事项:结果:逆行栓塞术更容易操作,节省放射线照射,尤其适合年轻患者。如果是单个优势馈源,对该馈源进行逆行栓塞可能足以治疗 CPAF。从肺动脉口逆行栓塞在技术上更具挑战性,但只需一步就能完全、明确地关闭瘘管:结论:CPAF 的适当治疗方法必须考虑患者年龄和瘘管结构。成功栓塞 CPAF 的先决条件是丰富的临床和介入经验,因此我们强烈建议将栓塞 CPAF 作为跨学科手术来计划和实施。
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Strategic approach to embolization of coronary to pulmonary artery fistulas: a technical note.

Background: Congenital coronary artery to pulmonary artery fistulas (CPAFs) are extremely rare congenital vascular malformations.

Purpose: To give a practical approach and consider technical challenges and pitfalls for endovascular embolization of CPAF.

Material and methods: Anatomic, technical, and pathophysiologic considerations are given and demonstrated for antegrade and retrograde endovascular embolization of CPAF.

Results: Antegrade embolization is easier to perform, saves radiation exposure, and is recommended especially in younger patients. In case of a single dominant feeder, antegrade embolization of this feeder might sufficiently treat the CPAF. Retrograde embolization from the pulmonary orifice is technically more challenging but leads to a complete and definite closure of the fistula in one single step.

Conclusion: Patient age and fistula configuration must be taken into consideration for appropriate treatment approach in CPAF. Prerequisite for successful embolization of CPAF is profound clinical and interventional experience, why we highly recommend to both plan and carry out embolization of CPAF as interdisciplinary procedure.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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