Coil occlusion of arteriovenous fistula of the vertebral artery in a child

Bricelj, Vlado; Robida, Andrej

doi:10.1002/(sici)1097-0304(199804)43:4<434::aid-ccd17>3.0.co;2-j

Cited by 5 publications

(1 citation statement)

References 5 publications

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“…Hepatocellular carcinoma with hepatic artery-portal shunt, direct TACE treatment, and embolic agents can enter the portal system through the fistula to cause plugging. In the case of finding difficulty in controlling upper gastrointestinal bleeding, spring rims or large particles of polyvinyl alcohol granules should be selected according to the specific conditions of DSA examination to block the mouthwash and minimize the pressure on the portal vein [ 22 ]. After the control of gastrointestinal bleeding and improvement of hepatic function, hepatic artery embolization chemotherapy is performed to reduce the complications associated with intervention and to obtain time for follow-up treatment and prolong the survival time of patients.…”

Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis and Interventional Treatment for Hepatocellular Carcinoma Combined with Arteriovenous Fistula

Cai

Ran

Song

et al. 2021

Journal of Healthcare Engineering

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In order to explore the imaging diagnosis methods and interventional treatment effects of hepatocellular carcinoma combined with hepatic arteriovenous fistula (HAVF), a total of 120 patients, who were diagnosed as hepatic carcinoma with arteriovenous shunting and underwent medical imaging diagnosis and interventional surgery therapy at a designated hospital by this study from December 2014 to December 2018, were chosen as study subjects. Digital subtraction angiography was performed to analyze the imaging features of hepatocellular carcinoma combined with HAVF in each patient; then, according to these imaging diagnosis results, gelatin sponge or coil was used to block the fistula; mitomycin, carboplatin powder, and lipiodol mixed emulsion was combined or separately utilized for hepatic tumor embolization, in which iodized oil embolization chemotherapy was used for patients with mild paralysis; gelatin sponge granule embolization chemotherapy was used for moderate paralysis patients at their first intervention, and, after about 1 month, if the sputum disappeared, iodized oil embolization was used again; and hepatic arterial infusion chemotherapy was used only for patients with severe paralysis. The results show that the central type of HAVF is characterized by early angiography of portal vein and large branches and tumor staining after portal vein’s angiography; the peripheral type of HAVF is characterized by portal vein branching in hepatic tumor and double rail sign accompanied by the arterial branch; 112 cases of patients completed embolization chemotherapy; 8 cases of patients only received chemotherapy perfusion; in 109 cases of patients sputum disappeared or shunt decreased at first treatment; and in 113 cases of patients iodine oil was well deposited or the tumor was stably reduced; most of the symptoms of refractory ascites, diarrhea, and upper gastrointestinal bleeding were controlled or improved, and there were no complications such as pulmonary embolism and hepatic failure. Therefore, HAVF increases the difficulty of interventional therapy, but, as long as the positive and appropriate treatment measures are taken, it can still achieve better curative effect without serious complications, which can effectively alleviate the clinical symptoms of patients and improve the quality of life of patients. The results of this study provide a reference for the further researches on imaging diagnosis and interventional treatment for hepatocellular carcinoma combined with arteriovenous fistula.

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Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis and Interventional Treatment for Hepatocellular Carcinoma Combined with Arteriovenous Fistula

Cai

Ran

Song

et al. 2021

Journal of Healthcare Engineering

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Vertebral Arteriovenous Fistula: A Review Article

et al. 2019

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Advances in pediatric cardiac surgery

Cowley

Lloyd²

1999

Current Opinion in Pediatrics

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Interventional cardiac catheterization offers increased therapeutic options to many patients with congenital heart disease. Over the past year encouraging results have been reported in hundreds of patients with interatrial communications, patent ductus arteriosus, and pulmonary artery stenosis requiring stenting. The Amplatzer (AGA Medical Corporation, Golden Valley, MN, USA) family of atrial septal, ventricular septal, and ductus occluding devices shows particular promise. Other studies support the efficacy and safety of established procedures such as balloon valvuloplasty and coarctation angioplasty. In some areas, such as transcatheter perforation of atretic pulmonary valves and endovascular stenting for coarctation of the aorta, our technical abilities may be advancing faster than our understanding of the ultimate clinical impact of our treatment. As interventional cardiac catheterization procedures continue to develop, they must be evaluated carefully against alternative treatments.

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Coil occlusion of arteriovenous fistula of the vertebral artery in a child

Cited by 5 publications

References 5 publications

Imaging Diagnosis and Interventional Treatment for Hepatocellular Carcinoma Combined with Arteriovenous Fistula

Imaging Diagnosis and Interventional Treatment for Hepatocellular Carcinoma Combined with Arteriovenous Fistula

Vertebral Arteriovenous Fistula: A Review Article

Advances in pediatric cardiac surgery

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