[1]张紫寅,王朝华,谢晓东,等.微弹簧圈栓塞难治性外伤性颈动脉海绵窦瘘的疗效观察[J].介入放射学杂志,2011,(07):518.
 ZHANG Zi-yin,WANG Chao-hua,XIE Xiao-dong,et al.Micro-coil embolization for refractory traumatic carotid arterial-cavernous fistula: therapeutic observation[J].journal interventional radiology,2011,(07):518.
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微弹簧圈栓塞难治性外伤性颈动脉海绵窦瘘的疗效观察()

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

卷:
期数:
2011年07期
页码:
518
栏目:
神经介入
出版日期:
2011-07-30

文章信息/Info

Title:
Micro-coil embolization for refractory traumatic carotid arterial-cavernous fistula: therapeutic observation
作者:
张紫寅 王朝华   谢晓东   张昌伟   范   锋   Sarvesh Gyawali   Srijana Bista
610041 成都 四川大学华西医院神经外科,放射科
Author(s):
ZHANG Zi-yin WANG Chao-hua XIE Xiao-dong ZHANG Chang-wei FAN Feng Sarveh Gyawali Srijana Bista.
Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province 610041, China
关键词:
颈动脉海绵窦瘘 微弹簧圈 栓塞 眼上静脉
分类号:
R743.9
文献标志码:
A
摘要:
目的 探讨和研究微弹簧圈血管内栓塞难治性外伤性颈动脉海绵窦瘘的疗效。方法 回顾13例用微弹簧圈栓塞治疗的难治性外伤性颈动脉海绵窦瘘患者。所有患者均有持续性颅内血管杂音、搏动性突眼及球结膜充血水肿。均采用微弹簧圈栓塞治疗,其中经动脉入路9例,经眼上静脉入路4例。结果 12例术后造影瘘口消失且颈内动脉通畅。1例填入5枚微弹簧圈后,微导管脱离瘘口,反复尝试不能再次进入,术中造影瘘口仍显影,1周后球囊阻断试验阴性后闭塞颈内动脉主干。术中1例微弹簧圈解旋,将解旋部分置于患侧颈外动脉固定。术后3 ~ 12个月(平均7.5个月)对10例患者随访了脑血管造影复查。1例复发,原因多与弹簧圈解旋后长期服用抗血小板药物均有关。结论 对于球囊闭塞困难的难治性外伤性颈动脉海绵窦瘘,微弹簧圈栓塞安全、有效。

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备注/Memo

备注/Memo:
收稿日期:20101226
更新日期/Last Update: 2011-07-30