mbolization of Pulmonary AVF友谊医院 尉建安.pptx

Embolization of Pulmonary AVFGeneral information60 y/o, femaleChest?distressPast medical history: Hypertension. No tuberculosisor trauma history. Physical examination: Cyanosis(-), acropachy (-).Laboratory testPCO237.90mmHg35.00-45.00PO261.80mmHg80.00-108.00SO293.20%95.00-100.00CTCECTDiagnosisPulmonary arteriovenous fistula in right inferior lobeCommon in patients with hereditary hemorrhagic telangiectasia (HHT). (80-90%)50% of PAVM patients will have a stroke, brain abscess, or pulmonary hemorrhage, if left untreatedd ≥ 3mm need treatment (more prone to rupture; the threshold for passage of thrombi)Tech Vasc Interv Radiol. 2007 Dec;10(4):283-90.DSADSAProblemsNo detachable coils and Amplatzer vascular plugsBalloonNo compliant balloonEmbolization6F Guiding6mm-2cm Balloon 15mm-8cm Coil(COOK) *810mm-5cm Coil(COOK) *210mm-14cm Microcoil(Nester, COOK) *6Embolization6mm-2cmD(v)≈ 9mmD(a) ≈ 8mmEmbolization10mm-14cm Micro-coil10mm-5cm coil15mm-8cm coilDSAPre- and Post-EmbolizationCECTDiscussionThe indication of embolization?