دورية أكاديمية
MVP™ Micro Vascular Plug Systems for the Treatment of Pulmonary Arteriovenous Malformations.
| العنوان: | MVP™ Micro Vascular Plug Systems for the Treatment of Pulmonary Arteriovenous Malformations. |
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| المؤلفون: | Bailey CR; Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA., Arun A; Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA., Towsley M; Division of Vascular and Interventional Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA., Choi WK; The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Betz JF; Department of Biostatistics, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., MacKenzie S; Division of Vascular and Interventional Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA., Areda MA; The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Duvvuri M; The Johns Hopkins University School of Medicine, Baltimore, MD, USA., Mitchell S; Division of Vascular and Interventional Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA., Weiss CR; Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower 7203, Baltimore, MD, 21287, USA. cweiss@jhmi.edu.; Division of Vascular and Interventional Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA. cweiss@jhmi.edu. |
| المصدر: | Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2019 Mar; Vol. 42 (3), pp. 389-395. Date of Electronic Publication: 2018 Nov 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: United States NLM ID: 8003538 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-086X (Electronic) Linking ISSN: 01741551 NLM ISO Abbreviation: Cardiovasc Intervent Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York Ny : Springer Verlag Original Publication: [Berlin, New York] Springer International. |
| مواضيع طبية MeSH: | Septal Occluder Device*, Arteriovenous Fistula/*therapy , Embolization, Therapeutic/*methods , Pulmonary Artery/*abnormalities , Pulmonary Veins/*abnormalities, Adult ; Arteriovenous Fistula/diagnostic imaging ; Computed Tomography Angiography ; Female ; Fluoroscopy ; Follow-Up Studies ; Humans ; Male ; Pulmonary Artery/diagnostic imaging ; Pulmonary Veins/diagnostic imaging ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Purpose: To describe our institutional experience with MVP™ micro vascular plug systems for the treatment of pulmonary arteriovenous malformations (PAVMs). Materials and Methods: We performed a retrospective medical record review of 52 patients with 119 PAVMs treated exclusively with MVP™ systems (69 procedures/153 MVP™ systems) between July 2014 and July 2018. All patients had PAVMs with feeding artery diameters ≥ 2 mm. MVP™ systems were deployed according to physician preference. We collected patient demographic information; procedural data (including size of feeding artery, size and number of embolics used per PAVM, fluoroscopy time, contrast administration), technical success rates, complications, and persistence. Persistence was assessed using computed tomography angiography (CTA) performed 1-3 months and 3-5 years after embolization per clinical protocol. Results: All procedures were technically successful without major complications. Mean feeding artery diameter was 3.3 ± 1.2 mm. Mean fluoroscopy time per procedure and contrast volume administered per procedure were 35 ± 16 min and 217 ± 101 mL, respectively. A mean of 1.3 ± 0.8 MVP™ systems was used per PAVM. There were no instances of persistence during a mean follow-up time of 328 ± 258 days (range 26 to 914 days). Conclusions: For PAVMs with feeding artery diameters of 2 to 7.9 mm (mean 3.3 ± 1.2 mm), MVP™ systems are safe and effective given their high technical success rates and lack of persistence. Further prospective work will be required to elucidate the advantages and disadvantages of these MVP™ systems for PAVM embolization. Level of Evidence: Level III. |
| فهرسة مساهمة: | Keywords: Computed tomography angiography; Hemorrhagic hereditary telangiectasia; MVP™ micro vascular plug system; Persistence; Pulmonary arteriovenous malformation |
| SCR Disease Name: | Pulmonary Arteriovenous Fistulas |
| تواريخ الأحداث: | Date Created: 20181116 Date Completed: 20190422 Latest Revision: 20190422 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s00270-018-2106-x |
| PMID: | 30430217 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-086X |
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| DOI: | 10.1007/s00270-018-2106-x |