Onyx结合弹簧圈经岩下窦入路栓塞海绵窦区硬脑膜动静脉瘘（附10例报告）.pdf

《Onyx结合弹簧圈经岩下窦入路栓塞海绵窦区硬脑膜动静脉瘘（附10例报告）.pdf》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、·1256·临床放射学杂志2014年第33卷第8期介入治疗Onyx结合弹簧圈经岩下窦入路栓塞海绵窦区硬脑膜动静脉瘘(附10例报告)杨少春，黄小玉，罗穆云，邱传珍，高志强【摘要】目的探讨经岩下窦入路用Onyx胶结合弹簧圈栓塞海绵窦区硬脑膜动静脉瘘(CSDAVF)的应用价值。方法回顾性分析10例CSDAVF患者应用Onyx胶结合弹簧圈栓塞的技术特点并评价疗效。结果8例治疗后即刻造影显示海绵窦及瘘口完全栓塞；2例海绵窦被栓塞，残留少量岩下窦引流，经压颈治疗后症状消失。术后3个月随访行全脑血管造影检查无变化，未予再处理。结论采用Onyx结合弹簧圈经岩下窦入路栓塞CSDAVF是安全有效的，对自发性CS

2、DAVF可作为首选方法。【关键词】岩下窦Onyx胶海绵窦硬脑膜动静脉瘘EmbolizationofCavernousSinusDuralArteriovenousFistulasbyUsingOnyxandDetachableCoilsviaInferiorPetrosalSinusAccess：InitialExperiencein10CasesYANGShaochun，HUANGXiaoyu，LUOMuyun，eta1．DepartmentofNeurosurgery，TheFirstAffiliatedHospitalofGannanMedicalCollege，Ganzhou3410

3、00，P．R．China【Abstract】ObjectiveToinvestigatethetherapeuticeffectofOnyxanddetachablecoilembolizationviainferiorpetro—salsinusaccessforcavernoussinusduralarteriovenousfistulas，andtodiscussitstechnicalpoints．MethodsEmboliza—tiontreatmentwithOnyxanddetachablecoilviainferiorpetrosalsinusaccesswassuccess

4、fullycarriedoutin10patientswithcavernoussinusduralarteriovenousfistulas．Theclinicaldatawereretrospectivelyanalyzed，andthetherapeuticre—suhswereevaluated．ResultsTheprocedurewassuccessfullyaccomplishedinall10patients．Angiographyperformedimmediatelyafterembolizationshowedthatthefistulawascompletelyobs

5、tructedin8cases：cavernoussinuswasembolizedin2casesleavingslightinferiorpetrosalsinusdraining，whichdisappearedafteroppressionofthecarotidartery．Wholecerebralangiographywasperformedthreemonthsaftertheoperation，whichshowedthatthevascularconditionwasstableandnofurthertreatmentwasneeded．ConclusionForthe

6、treatmentofcavernoussinusduralarteriovenousfistulas，em—bolizationtreatmentwithOnyxanddetachablecoilviainferiorpetrosalsinusaccessissafeandeffective．Thistechniqueshouldberecommendedasthetreatmentoffirstchoiceforspontaneouscavernoussinusduralarteriovenousfistulas．【Keywords】InferiorpetrosalsinusOnyxCa

7、vernoussinusDuralarteriovenousfistula海绵窦区硬脑膜动静脉瘘(cavernoussinusdu．上窦入路、经面静脉一眼静脉人路、直接穿刺眼静脉ralartefiovenousfistula，CSDAVF)在颅内硬脑膜动静入路等。2010年3月至2013年10月，笔者采用脉瘘中占有较大比率，仅次于侧窦区硬脑膜动静脉Onyx结合弹簧圈经岩下窦人路栓塞CSDAVF患者瘘¨J。CS