静脉窦内球囊保护下Onyx栓塞侧窦区硬脑膜动静脉瘘的随访分析

发布时间：2018-05-19 00:03

本文选题：硬脑膜动静脉瘘 + 静脉窦球囊保护　；参考：《中国脑血管病杂志》2017年03期

【摘要】：目的初步探讨侧窦区硬脑膜动静脉瘘的栓塞治疗中,静脉窦内球囊保护技术的疗效及安全性。方法回顾性连续纳入2012年12月至2016年8月,经静脉窦内球囊保护下,使用Onyx栓塞侧窦区硬脑膜动静脉瘘7例患者,并对其临床资料、影像学资料及随访结果进行分析。结果 7例患者中,瘘口位于乙状窦区3例、横窦区4例。术后即刻造影显示完全栓塞5例,大部分栓塞2例,球囊保护静脉窦均保持通畅。临床随访7例,随访时间为术后6~43个月,无新发神经功能缺损。7例患者均获全脑DSA复查,随访时间为术后6~11个月,提示5例完全治愈,其中4例静脉窦通畅,1例闭塞;1例瘘口稳定且静脉窦通畅,1例瘘口新发合并静脉窦闭塞。结论静脉窦内球囊保护下栓塞硬脑膜动静脉瘘在栓塞瘘口的同时,可长期维持静脉窦通畅,有利于维持栓塞效果的稳定性。
[Abstract]:Objective to evaluate the efficacy and safety of balloon protection in the treatment of dural arteriovenous fistula in lateral sinus region. Methods from December 2012 to August 2016, 7 patients with dural arteriovenous fistula in lateral sinus region were embolized with Onyx under the protection of venous sinus balloon. The clinical data, imaging data and follow-up results were analyzed. Results among 7 cases, 3 cases were located in sigmoid sinus region and 4 cases in transverse sinus area. Immediately after operation, 5 cases were completely embolized and 2 cases were mostly embolized. 7 cases were followed up for 6 ~ 43 months after operation. All the 7 cases without new nerve function defect were reexamined by global DSA. The follow-up time was 6 ~ 11 months after operation, indicating that 5 cases were cured completely. Among them, 4 cases had venous sinus patency, 1 case had occlusion, 1 case had stable fistula and 1 case had new fistula with venous sinus occlusion. Conclusion embolization of dural arteriovenous fistula under the protection of venous sinus balloon can maintain the patency of venous sinus for a long time, which is helpful to maintain the stability of embolization effect.
【作者单位】：第二军医大学附属长海医院神经外科;
【分类号】：R743.3

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