Embolization ntawm lub hlwb arteriovenous malformation

Feb 26, 2025 Tso lus

Lub hlwb arteriovenous malformations (bavms) muaj qhov tsis tshua muaj, tab sis cov kev los ntshav txhua xyoo tom qab sib tawg yog 2% rau 4%, thiab kev pheej hmoo ntawm kev xiam oob qhab thiab kev tuag yog qhov siab. Cov kev kho cov kev xaiv muaj microsurgical resection, stereotactic radiosurger, thiab embolization. Vim yog cov kev pheej hmoo sib txawv ntawm txhua kis, tam sim no tsis muaj kev pom zoo ntawm kev qhia thiab kev xaiv cov kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob uas xav paub. Txij li thaum cov txiaj ntsig ntawm Txoj Kev Kawm Aruba tau luam tawm, kev nyab xeeb thiab ua haujlwm ntawm kev kho mob ntawm cov ris las tau muaj kev sib cav.

 

Lub hlwb arteriovenous malformations (bavms) muaj cov tsos mob sib txawv, kev yws, qhov loj me, tus neeg siab tawv, thiab lwm yam muaj zog. Kev tiv thaiv ib xyoos tag nrho cov ntshav ib xyoos ib zaug yog 2% rau 4% ib xyoos, tus neeg tuag ntawm kev tawg yog kwv yees li ntawm 10% txog 30%. Ua kom tus poj niam txiv neej muaj hnub nyoog thiab poj niam yog ob lwm yam tseem ceeb uas ua rau muaj kev pheej hmoo los ntshav. Angiographic nta xws li Aneurysms, siab khiav tawm shunts, venous stenosis, thiab varicose aneurysms yuav cuam tshuam nrog kev pheej hmoo ntawm kev los ntshav.

 

Kev qhia txog lub hlwb ntawm lub hlwb ntawm lub hlwb (BAVM) feem ntau yog qhov kev tiv thaiv palliative, xws li rov qab los yog cov hluav taws xob radiosurger. Tsuas yog qee kis tuaj yeem kho tau los ntawm embolization ib leeg. Kev sim ua ARUBA uas qhia tias qhov kev tuag los ntawm ib qho laj thawj ntawm ib pawg kho mob thiab 30.7% hauv pab pawg tau txais ib hom kev cuam tshuam; Kev pheej hmoo ntawm kev tuag lossis mob stroke hauv pab pawg kho mob tau qis dua li hauv pawg kev pabcuam kev pabcuam.

 

Kev siv ntawm ob lub microcatheters rau embolization ntawm cerebral avms tau tshaj tawm, tab sis lub hom phiaj los tswj cov ntshav ntws hauv txhua qhov tseem ceeb hauv avms. Siv cov txheej txheem cua tshuab hluav taws xob, tag nrho lossis feem ntau ntawm cov txheej txheem pub mis yog superselected siv ib lub detachiles lossis ob-lumen zais pa catheter. Tus txheej txheem tseem ceeb ntawm txoj kev no yog tswj cov ntshav txaus rau malformation, yog li ua kom tsis txhob muaj ntshav ntawm malformation los ntawm lwm cov hlab ntsha pub mis. Qhov no txo ​​qhov ua kom tawg rau cov arterial feeder thiab venous sab, venous sab, zoo heev txo qis kev pheej hmoo ntawm kev pheej hmoo ntawm ischemia thiab venous compression.

 

AVM yog cov kab mob heterogeneous nrog cov kev pheej hmoo ntawm cov kev sim siab (RCTS Cov kws tshaj lij pom zoo tias kev kho kom zoo ntawm lub hlwb kev kho mob kom tshem tawm cov avm thiab ua tiav nrog cov kev kho kom zoo xws li radiosurger thiab microsurgery.

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