[1]朱国辉,段传志,李西锋,等.小脑动静脉畸形伴发动脉瘤栓塞治疗[J].介入放射学杂志,2015,(05):369-372.
 ZHU Guo hui,DUAN Chuan zhi,LI Xi feng,et al.Interventional embolization therapy for cerebellar arteriovenous malformations associated with aneurysm [J].journal interventional radiology,2015,(05):369-372.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年05期
页码:
369-372
栏目:
神经介入
出版日期:
2015-05-25

文章信息/Info

Title:
Interventional embolization therapy for cerebellar arteriovenous malformations associated with aneurysm
作者:
朱国辉 段传志 李西锋 张 炘 何旭英 李 维 赖凌峰 陈 敏
Author(s):
ZHU Guo hui DUAN Chuan zhi LI Xi feng ZHANG Xin HE Xu ying LI Wei LAI Ling feng CHEN Min.
Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province 510282, China
关键词:
【关键词】 小脑 动静脉畸形 动脉瘤 栓塞治疗性
文献标志码:
A
摘要:
【摘要】 目的 探讨血管内栓塞治疗小脑动静脉畸形(AVM)伴发动脉瘤的技术要点及临床效果。方法 回顾性分析就诊于我科、诊断为小脑AVM患者142例,其中42例伴发动脉瘤。将患者分为伴发动脉瘤组和不伴发动脉瘤组,采用单因素及多因素分析方法研究两组病例的性别、年龄、是否伴有出血、畸形团位置、大小及是否伴有深静脉引流。结果 42例患者共伴发61个动脉瘤,其中位于畸形团内14个,位于供血动脉上47个。畸形团内动脉瘤与畸形团破裂出血及伴有深静脉引流密切相关。42例患者栓塞治疗后随访期间,未见复发出血。结论 为了降低远期复发出血发生率,栓塞治疗小脑AVM伴发动脉瘤患者时应围绕动脉瘤处理制定治疗措施。

参考文献/References:

[1] 杨 鹏, 沈 进, 赵 卫. 脑动静脉畸形治愈性栓塞的研究进展[J]. 介入放射学杂志, 2013, 22: 435 439.
[2] Bowden G, Kano H, Tonetti D, et al. Stereotactic radiosurgery for arteriovenous malformations of the cerebellum[J]. J Neurosurg, 2014, 120: 583 590.
[3] Lü XL, Li YX, Yang XJ, et al. Characteristics of arteriovenous malformations associated with cerebral aneurysms[J]. World Neurosurg, 2011, 76: 288 291.
[4] Thompson RC, Steinberg GK, Levy RP, et al. The management of patients with arteriovenous malformations and associated intracranial aneurysms[J]. Neurosurgery, 1998, 43: 202 211.
[5] da Costa L, Wallace MC, Ter Brugge KG, et al.The natural history and predictive features of hemorrhage from brain arteriovenous malformations[J]. Stroke, 2009, 40: 100 105.
[6] Kano H, Kondziolka D, Flickinger JC, et al. Aneurysms increase the risk of rebleeding after stereotactic radiosurgery for hemorrhagic arteriovenous malformations[J]. Stroke, 2012, 43: 2586 2591.
[7] Kulcsár Z, Ugron A, Marosfoi M, et al. Hemodynamics of cerebral aneurysm initiation: the role of wall shear stress and spatial wall shear stress gradient[J]. AJNR Am J Neuroradiol, 2011, 32: 587 594.
[8] Ito H, Kanno I, Ibaraki M, et al. Relationship between baseline cerebral blood flow and vascular responses to changes in PaCO2 measured by positron emission tomography in humans: implication of inter individual variations of cerebral vascular tone[J]. Acta Physiol (Oxf), 2008, 193: 325 330.
[9] 张 炘, 段传志, 李铁林, 等. 切应力在血流动力学因素影响颅内动脉瘤形成和破裂中的作用[J]. 介入放射学杂志, 2011, 20: 319 324.
[10] Gao E, Young WL, Pile Spellman J, et al. Cerebral arteriovenous malformation feeding artery aneurysms: a theoretical model of intravascular pressure changes after treatment[J]. Neurosurgery, 1997, 41: 1345 1356.
[11] Redekop G, Terbrugge K, Montanera W, et al. Arterial aneurysms associated with cerebral arteriovenous malformations: classification, incidence, and risk of hemorrhage[J]. J Neurosurg, 1998, 89: 539 546.
[12] Schmidt NO, Reitz M, Raimund F, et al. Clinical relevance of associated aneurysms with arteriovenous malformations of the posterior fossa[J]. Acta Neurochir Suppl, 2011, 112: 131 135.
[13]段传志. 实用神经介入放射学[M]. 广州: 广东教育出版社, 2012: 126 130.
[14] Lü XL, Wu ZX, Li YX, et al. Cerebral arteriovenous malformations associated with Flow Related and circle of willis aneurysms[J]. World Neurosurg, 2011, 76: 455 458.
[15]许 奕, 刘建民, 洪 波, 等. 脑动静脉畸形合并动脉瘤的血管内治疗[J]. 介入放射学杂志, 2004, 13: 208 210.
[16] Elhammady MS, Aziz Sultan MA, Heros RC. The management of cerebral arteriovenous malformations associated with aneurysms[J]. World Neurosurg, 2013, 80: E123 E129.

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备注/Memo

备注/Memo:
(收稿日期:2014-11-19)
(本文编辑:边 佶)
更新日期/Last Update: 2015-05-19