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- W3031089558 abstract "ObjectiveTo generalize the clinical features, diagnosis and treatment, and improve the management of pulmonary arteriovenous fistula (PAVF).MethodsThe clinical data of 38 cases with PAVF diagnosed between June 2012 and December 2017 were retrospectively collected, we therefore summarized the diagnosis and management of PAVF with the review of related literature.ResultsThe 38 cases comprised 20 males and 18 females [mean age (39.3±17.9) years, range: 7-71 years]. The symptoms were hemoptysis in 18 cases, dyspnea in 14 cases, and three cases were found in conventional medical examination.17 cases underwent surgery, 16 cases were performed transcatheter embolization and five cases were untreated.Six cases among the operated patients were performed lobectomy through video-assisted thoracoscopic surgery, and one case was directly ligated the culprit vessel.All cases were fully recovered and discharged except one was retreated with transcatheter embolization due to bilateral involvement one case of recurrence, which was treated with transcatheter embolization and recovered uneventfully, and one recurrent case was finally untreated because the feeding artery was not found.ConclusionsThe clinical manifestation of PAVF is lack of specificity, therefore diagnosis should combine the clinical data with phantom study.Computed tomography (CT), especially contrast-enhanced CT and computed tomography angiography (CTA), is by far the simplest and efficient way to detect the lesion (s) of PAVF, and percutaneous image-guided embolotherapy is nowadays the first-line therapy while surgery also remains important in management of PAVF.Key words: Angiography; Pulmonary arteriovenous fistula; Hereditary hemorrhagic telangiectasia; Transcatheter embolization" @default.
- W3031089558 created "2020-06-05" @default.
- W3031089558 creator A5019427242 @default.
- W3031089558 date "2019-11-20" @default.
- W3031089558 modified "2023-09-24" @default.
- W3031089558 title "Clinical analysis and management of 38 cases of pulmonary arteriovenous fistula" @default.
- W3031089558 doi "https://doi.org/10.3760/cma.j.issn.1673-436x.2019.22.011" @default.
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