Effect of interventional embolization based on absolute ethanol for peripheral arteriovenous malformations.

IF 6.5 3区工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY

Biotechnology & Genetic Engineering Reviews Pub Date : 2024-12-01 Epub Date: 2023-05-29 DOI:10.1080/02648725.2023.2217617

Yanlin Wang, Dakan Liu, Li Xiao, Song Zuo, Tengfei Ren, Changxian Dong, Tianxiao Li

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引用次数: 0

Abstract

Background: Interventional embolization schedules based on absolute ethanol are usually used for peripheral arteriovenous malformations (PAVMs), and clinicians often choose the scheme according to the classification.

Aim: To evaluate different interventional embolization schedules based on absolute ethanol for PAVMs.

Methods: A retrospective study was performed of 165 patients with PAVMs treated with interventional embolization based on absolute ethanol in Henan Provincial People's Hospital from January 2018 to May 2021. PAVMs were classified as type II (n = 67), type III (n = 81) and type IV (n = 17) according to the Yakes classification system, including 123 maxillofacial, 13 trunk and 29 limbs. Effectiveness of embolization was based on PAVM devascularization on angiography: 100% (total), 90%~99% (near-total), 70%~90% (substantial), 30%~70% (partial) and 0%~30% (failure).

Results: PAVMs were classified as type II (n = 67), type III (n = 81) and type IV (n = 17) according to the Yakes classification system, including 123 maxillofacial (74.55%), 13 trunk (7.88%) and 29 limbs (17.58%). There are statistical differences in the angiographic outcomes among different Yakes classification and between different methods (P < 0.05), and there was a statistical difference in the failure rates among different Yakes classification (P < 0.05).

Conclusions: PAVMs occur maxillofacial usually, and Type II can achieve better effect by spring coil and absolute ethanol, while Type III and Type IV have no ideal effect by Pingyangmycin + iodized oil + PVA + absolute ethanol and spring coil + absolute ethanol, respectively. Both the two happen to be complications, and wound accounts the highest.

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基于绝对乙醇的介入栓塞治疗外周动静脉畸形的效果。

背景：目的：评价基于绝对乙醇的不同介入栓塞方案治疗PAVMs的效果：对河南省人民医院2018年1月至2021年5月基于绝对乙醇进行介入栓塞治疗的165例PAVM患者进行回顾性研究。根据Yakes分类系统将PAVM分为II型（n=67）、III型（n=81）和IV型（n=17），包括123例颌面部、13例躯干和29例四肢。栓塞效果以血管造影显示的 PAVM 血管脱落情况为依据：100%（完全）、90%~99%（接近完全）、70%~90%（大量）、30%~70%（部分）和 0%~30%（失败）：根据 Yakes 分类系统，PAVM 被分为 II 型（67 例）、III 型（81 例）和 IV 型（17 例），其中颌面部 123 例（74.55%）、躯干 13 例（7.88%）和四肢 29 例（17.58%）。不同Yakes分类和不同方法的血管造影结果存在统计学差异（P P 结论：PAVM多发生于颌面部，Ⅱ型用弹簧圈和绝对乙醇治疗效果较好，而Ⅲ型和Ⅳ型分别用平阳霉素+碘油+PVA+绝对乙醇和弹簧圈+绝对乙醇治疗效果不理想。二者恰好都是并发症，伤口占比最高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biotechnology & Genetic Engineering Reviews BIOTECHNOLOGY & APPLIED MICROBIOLOGY-GENETICS & HEREDITY

CiteScore

6.50

自引率

3.10%

发文量

期刊介绍： Biotechnology & Genetic Engineering Reviews publishes major invited review articles covering important developments in industrial, agricultural and medical applications of biotechnology.