Different methods for treating pulmonary arteriovenous malformation under multi-disciplinary treatment model
10.13929/j.issn.1672-8475.2024.01.003
- VernacularTitle:多学科诊疗模式下以不同方法治疗肺动静脉畸形
- Author:
Zeyang FAN
1
;
Peng HUANG
;
Haitao GUAN
;
Yinghua ZOU
Author Information
1. 北京大学第一医院介入血管外科,北京 100034
- Keywords:
lung;
arteriovenous malformations;
therapeutics;
multidisciplinary treatment
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effectiveness and safety of different methods under multi-disciplinary treatment(MDT)model for treating pulmonary arteriovenous malformation(PAVM).Methods MDT were retrospectively performed in 31 patients with PAVM.The effectiveness and safety of interventional therapy,surgical treatment and conservative therapy for PAVM were compared.Results Among 31 cases of PAVM,22 cases underwent interventional therapies(interventional group),4 cases received surgical treatments(surgical group)and 5 cases underwent conservative therapies(conservative group).In interventional group,PAVM was successfully embolized in all 22 cases,with the technical success rate was 100％(22/22).Pleurisy was occurred in 3 cases(3/22,13.64％),while recurrence of PAVM was noticed in 4 cases(4/22,18.18％)during follow-up.No recurrence occurred in interventional group after the second interventional therapies.In surgical group,4 cases were successfully treated with thoracoscopic lobectomy,with the technical success rate of 100％(4/4).No postoperative complication occurred,while recurrence of PAVM was noticed in 2 cases(2/4,50.00％)during follow-up,including 1 case underwent interventional therapy and 1 case underwent conservative therapy.In conservative group,progressive PAVM was observed in 3 cases(3/5,60.00％),including 2 cases who were cured with interventional therapy and 1 case died of stroke after conservative therapy.Conclusion Individualized treatments of PAVM were feasible under MDT model.Compared with surgical treatments and conservative therapies,interventional therapies of PAVM were more effective and relatively safe.
