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《Radiologic Practice》 2005-11
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Particular DSA Findings of Cavernous Hemangioma of the Liver Complicated with Arteriovenous Fistulas and the Interventional Therapy

YIN Jun,LIANG Huimin,FENG Gan-sheng,et al.Department of Radiology,the Affiliated Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,P.R.China  
Objective:Retrospectively study particular DSA findings of cavernous hemangioma of the liver(CHL) complicated with arteriovenous fistulas(AVF) and exploring appropriate managing measures.Methods:Analyzing 26 cases of hemangioma of the liver complicated with arteriovenous fistulas,all the cases were performed DSA and transarterial embolization(TAE) using pingyangmycin lipiodol emulsion(PLE).After AVF confirmed by DSA,TAE under superselectively cathetering and then occluded AVF using gelfoam particles,or occluded AVF with trifle anhydrous ethanol and then TAE,were performed again.Results:Particular findings of AVF of CHL in DSA were as follows:AVF localizing on around CHL and adjacent to feeding arteries to CHL;peripheric arterio-portal venous fistulas(APVF) being in the majority;lesser shunt volume being in the majority;feeding arteries to AVF showing normal.After appropriate managing measures,lipiodol sediment venous number in AVF was significantly decreased(P0.01),and remarkable abnormal lipiodol distributing was not found.Conclusions:AVF of CHL in DSA has high frequency and particular findings;appropriate managing measures can significantly decrease abnormal lipiodol distributing and potential fibrosis of lung and liver.
【CateGory Index】: R735.7
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