| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2013-09-24 |
| タイトル |
|
|
タイトル |
Embolization of Pulmonary Arteriovenous Malformations : Outcomes and Long-term Follow up in 10 Patients with Hereditary Hemorrhagic Telangiectasia |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Pulmonary arteriovenous malformations |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Hereditary hemorrhagic telangiectasia |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
embolotherapy |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Right-to-left shunt |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Recurrence |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 作成者 |
Sato, Kazuhiro
Shioya, Takanobu
Asano, Mariko
Okuda, Yuji
Miura, Hajime
Sano, Masaaki
Iino, Kenji
Kosaka, Toshimitsu
Watanabe, Hiroyuki
Hashimoto, Manabu
Ito, Hiroshi
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background : Pulmonary arteriovenous malformations (PAVMs) complicated with hereditary hemorrhagic telangiectasia (HHT) are treated by embolotherapy with adaptation for afferent arteries ≥ 3 mm in diameter. Purpose : To evaluate the efficacy of embolotherapy in oxygenation and event-free survival, even with persistent untreated small PAVMs. Materials and methods : Ten consecutive patients with HHT and 35 PAVMs treated by embolotherapy were selected from a database between 1991 and 2009 for a retrospective investigation. We evaluated improvement in partial arterial oxygen pressure (PaO2) and right-to-left shunt and followed up the prevalence of long-term complications after embolotherapy. Results : Twenty-three PAVMs were cured by embolotherapy. Mean PaO2 increased from 69.0 ± 19.2 to 84.9 ± 19.6 torr after embolization (P=0.005) and right-to-left shunt improved from 25.7 ± 9.5 to 13.8 ± 6.3 (P=0.005). Oxygenation was similarly improved in six patients with small PAVMs outside of treatment adaptation. Although new embolic episodes did not arise, one patient developed reperfusion and untreated PAVMs grew in two others during a mean follow-up period of 69 months. Conclusions : Embolotherapy helped oxygenation and prevented paradoxical embolism even if small PAVMs remained untreated. However, frequent follow-up is necessary because untreated small PAVMs are at high risk for their growth. |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
ja : 秋田医学
巻 40,
号 1,
p. 13-21,
発行日 2013-06-28
|
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866106 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00009294 |
| 出版者 |
|
|
出版者 |
秋田医学会 |
|
言語 |
ja |
akitai40(13).pdf (1.2 MB)
