无水乙醇在血管畸形治疗中的应用

无水乙醇治疗血管畸形的探索充满挑战,但最终是有益的。过去10年,我们获得了大量关于血管畸形影像学特征和病理学分类的知识。现在,我们相信,许多静脉畸形和动静脉畸形可通过乙醇治愈,某些难以治愈的病灶,也常常可通过乙醇栓塞控制病情或改善症状。乙醇治疗可能引起严重并发症,因此我们强烈建议,这类疾病的治疗应由经验丰富的专科医师实施。我们认为,乙醇栓塞是目前血管畸形这类极其复杂难治的疾病的首选治疗技术。

Vascular malformations:Effective treatment with absolute ethanol

Alcohol therapy of vascular malformations is a challenging,difficult but ultimately rewarding pursuit. Over the past 10 years,we have learned a great deal about appropriate imaging work-up and pathologic classification of these lesions. We believe that many venous malformations and AVMs can now be considered curable with the use of alcohol sclerotherapy. In other lesions,alcohol offers considerable promise of lesion control and improvement of symptoms. Alcohol embolotherapy can,however,produce significant morbidity and we,therefore,strongly advise that theses lesions be treated by an interventionalist possessed of significant knowledge and skill. Ethanol ablation of vascular malformations is,we believe,now the preferred technique for the management of these extremely complex and challenging lesions.