|
|
|
| Prophylactic embolization in the treatment of congenital bronchial artery-pulmonary circulation fistulas |
| HUANG Jing, ZHENG Yunyun, LI Ping, RONG Xing, ZHANG Songyue, XIA Tianhe, QIU Huixian, WU Rongzhou. |
| Department of Pediatric Cardiovascular, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027 |
|
| Cite this article: |
|
HUANG Jing,ZHENG Yunyun,LI Ping, et al. Prophylactic embolization in the treatment of congenital bronchial artery-pulmonary circulation fistulas[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2018, 48(12): 921-924,928.
|
|
|
|
Abstract Objective: To evaluate the curative effect of the prophylactic embolization in the treatment of congenital bronchial artery-pulmonary circulation fistulas (CBPF). Methods: A total of 11 children (6 males and 5 females), who had CBPF from the Second Affiliated Hospital of Wenzhou Medical University from Jan. 2016 to Dec. 2017, were diagnosed with selective bronchial artery angiography in the procedure of interventional occlusion of patent ductus arteriosus (PDA). The age of all patients ranged from 11 months to 12 years old. In 10 cases, whose fistulas were larger in diameter than adjacent bronchial artery, interventional occlusion was performed by either interlock fibered coils or pfm coils. Regular follow-up was done in 1, 3, 6 and 12 months after operation and once a year thereafter. Results: All patients’ PDA were successfully occluded. After PDA occlusion, the descending aortic angiography was applied, which showed that all 10 patients’ PDA were completely closed immediately, but 1 patient was left untreated due to the tortuosity of bronchial artery. During the follow-up, no patient had hemoptysis or other complications. Conclusion: Prophylactic therapeutic embolization is an effective way to protect patients who have CBPF. However whether it can protect against major hemoptysis remains unknown and requires long-term follow-up.
|
|
Received: 10 May 2018
|
| |
|
|
|
[1] CASTAÑER E, GALLARDO X, RIMOLA J, et al. Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview[J]. Radiographics, 2006, 26(2): 349-371.
[2] 赵德理. 支气管动脉-肺循环瘘致大咯血的介入治疗[J]. 中国医药指南, 2011, 9(25): 78-79.
[3] 叶丽芳, 伍筱梅. 体-肺循环分流的病理-影像学研究[J]. 中华介入放射学电子杂志, 2014, 2(1): 57-59.
[4] 中国医师协会儿科医师分会先天性心脏病专家委员会. 儿童常见先天性心脏病介入治疗专家共识[J]. 中华儿科杂志, 2015, 53(1): 17-24.
[5] 刘晖, 姜鹃. 儿童先天性支气管动脉-肺动脉瘘的漏诊分析[J]. 心肺血管病杂志, 2014, 33(4): 483-485.
[6] 徐国斌, 熊斌, 刘骏方, 等. 合并支气管动脉-肺循环瘘大咯血的介入治疗[J]. 临床放射学杂志, 2008, 27(10): 1398-1401.
[7] 伍筱梅, 赖清, 陈永富, 等. 体-肺循环分流与大咯血(附62例报告)[J]. 中国现代医学杂志, 2008, 18(7): 939-943.
[8] 张万壮, 李俊芹, 李秀芝, 等. 支气管动脉-肺动脉瘘并大咯血的介入治疗[J]. 中国煤炭工业医学杂志, 2016, 19(3): 363-366.
[9] 张芨, 杨超, 张鸿文, 等. DSA对咯血责任血管的诊断及栓塞治疗[J]. 中国介入影像与治疗学, 2015, 12(8): 455-458.
[10] 刘灵. 弹簧圈栓塞支气管动脉在儿童大咯血中的应用[J].承德医学院学报, 2008, 25(1): 63-64.
[11] GUGLIELMI G, VIÑUELA F, SEPETKA I, et al. Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results[J]. J Neurosurg, 1991, 75(1): 1-7.
[12] SUGIU K, KATSUMATA A, KUSAKA N, et al. Combined use of electrolytically and mechanically detachable platinum coils for endovascular treatment of cerebral aneurysms-technical note[J]. Neurol Med Chir, 2004, 44(5): 269-273.
[13] 崔丽华. 可脱弹簧圈在介入治疗大咯血中的应用研究[D]. 哈尔滨: 哈尔滨医科大学, 2012. |
|
|
|
