Background: Pulmonary arteriovenous malformations (PAVM) can be found in approximately 20 % to 35 % of patients with hereditary hemorrhagic telangiectasia (HHT). PAVM should be treated since they are a source of paradoxical embolization, potentially resulting in severe neurologic complications. The treatment of choice is the endovascular embolization with coils.
Patients And Methods: Seven patients with HHT underwent superselective embolization of PAVM detected during screening for PAVM. Four patients had a single PAVM and one patient 3, 4 and 5 PAVMs, respectively. Electrolytically detachable coils were used for embolization. In addition, coils with synthetic fibers were used during 6 embolizations for completion of embolization.
Results: Embolization was technically successful in all patients. Complete primary occlusion was achieved in all PAVM. No coil migration or occlusion of unaffected pulmonary arteries was observed. After embolization, one patient developed a small pleural effusion, which was treated symptomatically.
Conclusion: As a minimally invasive procedure, superselective embolization is the treatment of choice in treating PAVM in patients with HHT. With the use of electrolytically detachable coils, the ideal coil size can be chosen and exact placement achieved without the risk of coil migration or occlusion of unaffected pulmonary arteries.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1055/s-2004-813367 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ingenious construction of a magnetic-recyclable photo-Fenton catalyst ZnFeO@MIL-88A(Fe) and its adsorption-degradation activity toward levofloxacin.
J Environ Sci (China)
May 2025
Key Laboratory of the Ministry of Education for Advanced Catalysis Materials, College of Chemistry and Materials Science, Zhejiang Normal University, Jinhua 321004, China. Electronic address:
Monotonic pore size and particles inseparability of metal-organic frameworks (MOFs) caused serious effects on its light absorption ability and charge separation, restricting its application for antibiotic such as levofloxacin (LEV) degradation in water. In this study, a magnetically detachable nano-photocatalyst (ZnFeO@MIL-88A(Fe)) was synthesized using a simple two-step hydrothermal technique. The morphology and microstructure analyses showed that n-type ZnFeO catalyst particles were efficiently assembled onto the surface of MIL-88A(Fe) crystal.
View Article and Find Full Text PDFFlexible, Wearable Wireless-Charging Power System Incorporating Piezo-Ultrasonic Arrays and MXene-Based Solid-State Supercapacitors.
ACS Appl Mater Interfaces
July 2024
College of Materials Science and Engineering, Sichuan University, Chengdu 610064, China.
With the continuous development of wearable electronics, higher requirements are put forward for flexible, detachable, stable output, and long service life power modules. Given the limited capacity of energy storage devices, the integration of energy capture and storage is a viable approach. Here, we present a flexible, wearable, wireless-charging power system that integrates a piezoelectric ultrasonic array harvester (PUAH) with MXene-based solid-state supercapacitors (MSSSs) in a soft wristband format for sustainable applications.
View Article and Find Full Text PDFWater-Mediated On-Demand Detachable Solid-State Adhesive of Porous Hydroxyapatite for Internal Organ Retractions.
Adv Healthc Mater
July 2024
Department of Biomaterials, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama, 700-8558, Japan.
Article Synopsis
- Novel adhesives made from porous hydroxyapatite (HAp) ceramics provide a new method for surgical procedures involving biological tissues.
- These adhesives work by allowing water to move from soft tissues into their porous structure, which helps them effectively attach to different tissue types under various hydration conditions.
- Demonstrated during surgeries on porcine livers, these HAp adhesive devices show strong holding capabilities and can be easily detached when needed, indicating their potential use as internal organ retractors in laparoscopic surgeries.
Treatment of an Intracranial Fusiform Vertebral Aneurysm Using the MVP® Micro Vascular Plug System as an Adjunct to Pipeline(TM) Embolization: Technical Case Instruction.
Cureus
March 2024
Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, USA.
Fusiform and dolichoectatic aneurysms pose unique challenges in treatment, often requiring alternative approaches compared to saccular aneurysms. Microsurgical options like clipping or a bypass can be difficult, leading to the advancement of endovascular techniques. Flow-diverting stents and vessel sacrifice with detachable coils have shown efficacy in reconstruction.
View Article and Find Full Text PDFLarge-Scale Wearable Textile-Based Sweat Sensor with High Sensitivity, Rapid Response, and Stable Electrochemical Performance.
ACS Appl Mater Interfaces
April 2024
Guangdong-Hong Kong Joint Laboratory for Advanced Textile Materials, College of Textile Science and Engineering, Wuyi University, Jiangmen 529020, China.
Textile-based sweat sensors display great potential to enhance wearable comfort and health monitoring; however, their widespread application is severely hindered by the intricate manufacturing process and electrochemical characteristics. To address this challenge, we combined both impregnation coating technology and conjugated electrospinning technology to develop an electro-assisted impregnation core-spinning technology (EAICST), which enables us to simply construct a sheath-core electrochemical sensing yarn (TPFV/CPP yarn) via coating PEDOT:PSS-coated carbon fibers (CPP) with polyurethane (TPU)/polyacrylonitrile (PAN)/poloxamer (F127)/valinomycin as shell. The TPFV/CPP yarn was sewn into the fabric and integrated with a sensor to achieve a detachable feature and efficiently monitor K levels in sweat.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!