Transcatheter closure of a huge pulmonary arteriovenous fistula with embolization coils

CMUR > China Medical University Beikang Hospital > Journal articles > Item 310903500/28924

Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/28924

Title:	Transcatheter closure of a huge pulmonary arteriovenous fistula with embolization coils
Authors:	Liau, CS;Wang, JK;Wu, MH;Chu, IT
Contributors:	北港附設醫院內科部;NATL TAIWAN UNIV HOSP,DEPT PEDIAT,TAIPEI 10016,TAIWAN;CHINA MED COLL,PEIKANG HOSP,DEPT INTERNAL MED,PEIKANG,TAIWAN
Keywords:	cyanosis;clubbing;pulmonary infarction
Date:	1997
Issue Date:	2010-09-24 14:14:09 (UTC+8)
Publisher:	WILEY-LISS
Abstract:	The biphasic effects of Pu-Chung-I-Chi-Tang (PCT) on sedation and excitation in acute treatment or after one-week consecutive treatment were studied. The results indicated that PCT produces sedation in acute treatment and excitation after one-week consecutive treatment. The sedative mechanism of PCT in acute treatment might be due to an increase in serotonergic activity and a decrease in dopaminergic activity. However, the excitatory mechanism of PCT after one-week consecutive treatment might involve the increase in dopaminergic activity and the decrease in serotonergic activity. A 46-year-old female with bilateral pulmonary arteriovenous fistulas was treated with Gianturco coil occlusion. The small right lung fistula was closed with a 6 mm coil, whereas the huge left lung fistula was occluded with three coils (one 10-mm and two 8-mm). Angiography 3 d later demonstrated recanalization of the left fistula. Two 8 mm coils were inserted to achieve complete obstruction again. She developed pulmonary infarction in the left lung 2 d later, which recovered without sequelae. We conclude that coil embolization for huge pulmonary arteriovenous fistula is feasible but may result in pulmonary infarction.
Relation:	CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 42(3):286-289
Appears in Collections:	[China Medical University Beikang Hospital] Journal articles

Files in This Item:

File	Description	Size	Format
index.html		0Kb	HTML	465	View/Open

Loading...