[1]龙霄翱,尹延庆,李 捷,等.复杂的直接性海绵窦动静脉瘘血管构筑特征及介入治疗[J].介入放射学杂志,2015,(09):750-753.
 LONG Xiao- ao,YIN Yan- qing,LI Jie,et al.The vascular architecture characteristics of the complex direct cavernous sinus arteriovenous fistula and its interventional treatment[J].journal interventional radiology,2015,(09):750-753.
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复杂的直接性海绵窦动静脉瘘血管构筑特征及介入治疗 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年09期
页码:
750-753
栏目:
神经介入
出版日期:
2015-09-25

文章信息/Info

Title:
The vascular architecture characteristics of the complex direct cavernous sinus arteriovenous fistula and its interventional treatment
作者:
龙霄翱 尹延庆 李 捷 段传志 李铁林
Author(s):
LONG Xiao- ao YIN Yan- qing LI Jie DUAN Chuan- zhi LI Tie- lin
Department of Neurosurgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong Province 524001, China
关键词:
【关键词】 海绵窦 动静脉瘘 血管内治疗 放射学介入
文献标志码:
A
摘要:
【摘要】 目的 分析复杂的直接性海绵窦动静脉瘘(cd- CAVF)患者血管构筑影像学特征、治疗方式及疗效。方法 回顾分析12例复杂cd- CAVF患者住院记录、影像学特征及手术记录。结果 12例患者中供血动脉为颈内动脉(ICA)8例,原始三叉动脉1例,脑膜中动脉(MMA)2例,基底动脉(BA)1例;均有不同程度“盗血”现象;经眼上静脉及岩下窦引流10例,皮层静脉引流2例。经ICA栓塞4例,经ICA联合BA栓塞5例,经MMA栓塞2例,经BA栓塞1例;采用球囊栓塞8例,弹簧圈2例,球囊结合弹簧圈2例。术后随访3~6个月,所有患者无并发症,症状、体征消失,达完全治愈;平均随访(60.2±26.8)个月无复发。结论 cd- CAVF血供源于海绵窦壁周围血管直接破裂,易出现“盗血”,经眼上静脉、岩下窦引流多见。经动脉球囊栓塞治疗复杂cd- CAVF效果良好,联合多动脉入路弹簧圈栓塞为有效的补充方法。

参考文献/References:

[参 考 文 献]
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[7] Ducruet AF, Albuquerque FC, Crowley RW, et al. The evolution of endovascular treatment of carotid cavernous fistulas: a single- center experience[J]. World Neurosurg, 2013, 80: 538- 548.
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备注/Memo

备注/Memo:
(收稿日期:2015-03-07)
(本文编辑:边 佶)
更新日期/Last Update: 2015-09-23