Rendezvous therapy with endoscopic and endovascular treatments for rectal arteriovenous malformation: A case report
Rendezvous therapy with endoscopic and endovascular treatments for rectal arteriovenous malformation: A case report
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内镜和血管内治疗直肠动静脉畸形的会合治疗：病例报告
DOI：
10.1055/a-1388-6021
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发表时间：
2021
期刊：
影响因子：
9.3
通讯作者：
Sakaida Isao
中科院分区：
文献类型：
--
作者：
Matsuda Takashi;Ishikawa Tsuyoshi;Oono Takashi;Sasaki Ryo;Hidaka Isao;Okada Munemasa;Sakaida Isao
一位84岁男性因反复便血而住进本院。6个月前，他接受了出血性直肠动静脉畸形的经导管动脉栓塞术。对比增强计算机断层扫描(CT)显示直肠动静脉畸形复发(图1)，结肠镜检查显示直肠下段有脉动的糜烂([图2])。诊断为直肠动静脉畸形再出血，通常采用经导管动脉栓塞术和手术切除[1][2][3]。然而，单纯的经导管动脉栓塞术并不能消除异常血管，由于患者的高龄，手术切除被认为是过于侵入性的。因此，尝试了一种侵入性较小的治疗方法来控制畸形的出血，方法是结合使用氰基丙烯酸正丁酯-碘化油的内窥镜注射硬化治疗和使用球囊导管的血管内治疗(视频1)。
An 84-year-old man was admitted to our hospital with recurring hematochezia. Six months earlier, he had undergone transcatheter arterial embolization using platinum coils for hemorrhagic rectal arteriovenous malformation.Contrast-enhanced computed tomography (CT) revealed a recurrence of the rectal arteriovenous malformation ([Fig. 1]), and colonoscopy revealed erosion with pulsation in the lower rectum ([Fig. 2]). The diagnosis was rectal arteriovenous malformation rebleeding, which is typically treated using transcatheter arterial embolization and surgical resection [1][2][3]. However, transcatheter arterial embolization alone does not eliminate the abnormal vessels, and surgical resection was considered too invasive because of the patient’s advanced age. Therefore, a less invasive curative therapy was attempted to control bleeding from the malformation using a combination of endoscopic injection sclerotherapy with n-butyl cyanoacrylate-lipiodol and endovascular therapy with balloon catheters ([Video 1]).
影响因子：
2.5
作者：
Hayakawa, H;Kusagawa, M;Katsura, K
通讯作者：
Katsura, K
DOI：
10.1016/j.ejvs.2010.11.018
发表时间：
2011-04-01
影响因子：
5.7
作者：
Mallios, A.;Laurian, C.;Marteau, V.
通讯作者：
Marteau, V.
影响因子：
0.6
作者：
Ishikawa, Sho;Mukai, Shoichiro;Ohdan, Hideki
通讯作者：
Ohdan, Hideki