Interventional embolization of congenital arteriovenous fistula in the common femoral profounda artery in children
10.3760/cma.j.issn.1005-1201.2012.12.013
- VernacularTitle:儿童先天性股深动静脉瘘的介入栓塞治疗
- Author:
Jing ZHANG
;
Xiaoyun TAN
;
Shaoyi ZHOU
;
Kunshan CHEN
;
Haibo LI
;
Chuanqiang NIU
;
Yizhou JIANG
;
Queqing LIN
- Publication Type:Journal Article
- Keywords:
Arteriovenous fistula;
Embolization,therapeutic;
Ethanol
- From:
Chinese Journal of Radiology
2012;(12):1110-1113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect and safty of interventional embolization of congenital arteriovenous fistula (CAVF) in the common femoral profounda artery in children.Methods Eight children (aged 6 to 14 years ;6 males and 2 females) with CAVF underwent interventional embolization From January 2006 and December 2010.Color Doppler sonography and DSA were performed on all patients.Arterial duplex imaging revealed the arteriovenous fistula in the common femoral profounda artery and DSA further confirmed the presence of an AVF over the common femoral profounda artery via the other vein.All children were treated with interventional embolization therapy by the injection ofcoils or ethanol through a microcather.It was necessary to performed repeated interventional embolization if the lesion was not obliterated in 4 weeks.All patients were followed-up from 6 months to 2 years and the clinical symptoms were observed.Results Arteriograpy can clearly demonstrate the femoral profounda artery and its branches as well as the fistula.Ten interventional embolization procedures were performed.Forty seven coils were deployedduring the procedure and seven ethanol embolization procedures were performed.Post-procedural angiography revealed complete occlusion in 8 patients.No major complications such as ectopic coil embolization,tissue necrosis,peripheral nerve palsy or cardio-pulmonary collapse were found.The abnormal AVFs were embolized completely in 7 cases after only one therapy and there was no recurrent disease in the 6 months to 2 years follow-up.Some tiny AVFs were still found in another case which underwent three additional treatments.However,the clinical symptoms were under control.Conclusion Interventional embolization is a safe and effective therapeutic method for CAVF of the common femoral profounda artery in children and it might become the primary treatment option.
