[1]于正涛,蒋俊文,李由,等.海绵窦区硬脑膜动静脉瘘的介入治疗分析[J].中国临床神经外科杂志,2023,28(06):361-364.[doi:10.13798/j.issn.1009-153X.2023.06.003]
　YU Zheng-tao,JIANG Jun-wen,LI You,et al.Clinical efficacy of interventional treatment for patients with cavernous sinus dural arteriovenous fistulas: report of 21 cases[J].,2023,28(06):361-364.[doi:10.13798/j.issn.1009-153X.2023.06.003]
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海绵窦区硬脑膜动静脉瘘的介入治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年06期
页码:
361-364
栏目:
论著
出版日期:
2023-06-30

文章信息/Info

Title:
Clinical efficacy of interventional treatment for patients with cavernous sinus dural arteriovenous fistulas: report of 21 cases
文章编号:
1009-153X（2023）06-0361-04
作者:
于正涛; 蒋俊文; 李由; 李佳梦; 陈焕雄; 夏鹰
570208海口，中南大学湘雅医学院附属海口医院神经外科医学部（于正涛、蒋俊文、李由、李佳梦、陈焕雄、夏鹰）
Author(s):
YU Zheng-tao;  JIANG Jun-wen;  LI You;  LI Jia-meng;  CHEN Huan-xiong;  XIA Ying
Department of Neurosurgery, Haikou Hospital, Xiangya Medical College, Central South University, Haikou 570208, China
关键词:
海绵窦区硬脑膜动静脉瘘; 血管内治疗; 疗效
Keywords:
Cavernous sinus dural arteriovenous fistula;  Endovascular therapy;  Curative effect
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.06.003
文献标志码:
R 743.4; R 815.2
摘要:
目的 探讨海绵窦区硬脑膜动静脉瘘的介入治疗方法及其疗效。方法 回顾性分析2013年1月至2023年1月介入治疗的21例海绵窦区硬膜动静脉瘘的临床资料。结果 经股静脉-岩下窦途径16例，经颈外动脉入路4例，经动静脉联合入路1例；采用弹簧圈联合Onyx-18 胶栓塞17例，单纯应用弹簧圈1例，单用Onyx-18胶3例；术后即刻造影显示瘘口完全闭塞18例，次全闭塞3例。术后随访3~12个月，临床治愈17例，好转4例。15例复查造影未见瘘口复发。结论 根据海绵窦区硬脑膜动静瘘血管构筑特征，采用个体化的血管内治疗方案，可以获得满意的临床疗效。
Abstract:
Objective To investigate the clinical efficacy of interventional treatment for patients with cavernous sinus dural arteriovenous fistulas (CS-DAVF). Methods The clinical data of 21 patients with CS-DAVF who received interventional treatment from January 2013 to January 2023 were retrospectively analyzed. Results Of 21 patients, 16 patients (76%) were treated via femoral vein-inferior petrosal sinus approach, 4 patients (19%) via external carotid artery approach and 1 patient (5%) via combined arteriovenous approach. Coils and Onyx-18 glue were used in 17 patients (81%), only Onyx-18 glue in 3 patients (14%), and only coils in 1 patient (5%). Immediate postoperative angiography showed complete occlusion of fistula in 18 patients and subtotal occlusion in 3.The follow-up (3~12 months) showed that 17 patients were cured and 4 were improved. The angiography of 15 patients during the follow-up showed no recurrence of fistulas. Conclusions Interventional treatment via individualized approaches according to the characteristics of CS-DAVF angioarchitectures can obtain good clinical efficacy for patients with CS-DAVF.

参考文献/References:

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备注/Memo

备注/Memo:
（2023-04-25收稿，2023-05-21修回）
基金项目：海南省脑血管病临床研究中心专项（LCYX202206）；海南省卫生健康行业科研项目（20A200063）
通讯作者：夏　鹰，E-mail：xiaying008@163.com
更新日期/Last Update: 2022-06-30