[1]张申起 彭 彬 许 州 李明昌 田道锋 刘宝辉 王军民 陈谦学.外伤性颈动脉海绵窦瘘合并假性动脉瘤的血管内介入治疗[J].中国临床神经外科杂志,2018,(11):705-707.[doi:10.13798/j.issn.1009-153X.2017.11.001]
 ZHANG Shen-qi,PENG Bin,XU Zhou,et al.Endovascular treatment of traumatic carotid cavernous fistula associated with pseudoaneurysms[J].,2018,(11):705-707.[doi:10.13798/j.issn.1009-153X.2017.11.001]
点击复制

外伤性颈动脉海绵窦瘘合并假性动脉瘤的血管内介入治疗()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年11期
页码:
705-707
栏目:
论著
出版日期:
2018-11-25

文章信息/Info

Title:
Endovascular treatment of traumatic carotid cavernous fistula associated with pseudoaneurysms
作者:
张申起 彭 彬 许 州 李明昌 田道锋 刘宝辉 王军民 陈谦学
430060 武汉,武汉大学人民医院神经外科(张申起、许 州、李明昌、田道锋、刘宝辉、王军民、陈谦学),神经内科(彭彬)
Author(s):
ZHANG Shen-qi1 PENG Bin2 XU Zhou1 LI Ming-chang1 TIAN Dao-feng1 LIU Bao-hui1 WANG Jun-min1 CHEN Qian-xue1.
1. Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China; 2. Department of Neurology, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
外伤性颈动脉海绵窦瘘假性动脉瘤血管内介入治疗疗效
Keywords:
Traumatic carotid cavernous fistula Pseudoaneurysms Clinical features Endovascular treatment Curative effects
分类号:
R 743.9; R 815.1
DOI:
10.13798/j.issn.1009-153X.2017.11.001
文献标志码:
A
摘要:
目的 探讨外伤性颈动脉海绵窦瘘(TCCF)合并假性动脉瘤的临床特点及血管内介入治疗方法及疗效。方法 回顾性分析武汉大学人民医院神经外科2012年1月至2015年12月收治的10例TCCF合并假性动脉瘤的临床资料。10例均行血管内介入治疗,其中5例单纯应用血管内可脱球囊治疗,2例联合应用球囊及弹簧圈栓塞治疗,1例行球囊辅助Onyx胶联合弹簧圈栓塞治疗,2例行患侧颈内动脉闭塞术。结果 术后无死亡病例。10例术后DSA证实海绵窦瘘及假性动脉瘤均未显影,未闭塞患侧颈内动脉的8例患侧颈内动脉无分支动脉损伤,保持通畅。术后随访6个月至2年,无再发鼻衄及神经功能障碍。结论 对于TCCF合并假性动脉瘤,血管内介入治疗是理想的治疗方法,首选单纯应用血管内可脱球囊治疗,可脱球囊联合其他栓塞材料或单独使用其他栓塞材料是有效的补充。
Abstract:
Objective To explore the clinical features and technique of endovascular treatment of traumatic carotid cavernous fistula (TCCF) associated with pseudoaneurysms. Methods The clinical data of 10 patients with TCCF associated with pseudoaneurysms, who were treated in Department of Neurosurgery of Renmin Hospital of Wuhan University from January, 2012 to December, 2015, were analyzed retrospectively. Of 10 patients, 5 received endovascular embolization only with detectable balloon, 2 with detectable balloon combined with coils, 1 with detectable balloon combined with coils and Onxy glue and 2 received internal carotid artery occlusion in the involved sides. Results No patients died of the operation. The successful occlusions of the TCCF and pseudoaneurysms were achieved in all the patients. The internal carotid arteries were free and no arterial branches were injured in 8 patients. The following-up from 6 months to 12 years showed that there were no epistaxis and neurological dysfunctions in all the patients. Conclusions Endovascular embolization is an ideal method to treat TCCF associated with pseudoaneurysms. The detachable balloon is preferable to the other materials, which is an effective supplement for the endovascular embolization of TCCF associated with pseudoaneurysms.

参考文献/References:


[1] 马廉亭,杨 铭. 脑脊髓血管病血管内治疗学[M]. 第2版. 北京:科学出版社,2010. 171.
[2] Cuong Tran Chi, Dang Nguyen, Vo Tan Duc, et al. Direct traumatic carotid cavernous fistula: angiographic classifica- tion and treatment strategies study of 172 cases [J]. INR, 2014, 20(4): 461-475.
[3] 余 泽,马廉亭,潘 力,等. 外伤性颈动脉海绵窦瘘血管 内治疗及随访[J]. 中国临床神经外科杂志,2007,12(8): 471-473.
[4] 吕 明,孙 勇. 神经介入诊断与治疗[M]. 第2版. 合肥: 安徽科学技术出版社,2018. 337.
[5] 李 斐,陈谦学. 创伤性颅内假性动脉瘤的临床治疗[J]. 中国创伤杂志,2014,30(11):1112-1114.
[6] 王子亮,许 斌,李天晓.可脱性球囊治疗外伤性颈动脉 海绵窦瘘188例[J]. 介入放射学杂志,2015,24(9):754- 758.
[7] 林俊明,张明升,王文浩,等. 可脱性球囊治疗外伤性颈动 脉海绵窦瘘15例[J]. 中国临床神经外科杂志,2012,17 (10):637-638.
[8] 马廉亭. 外伤性颈动脉海绵窦瘘诊断与血管内介入治疗 必需遵循的基本原则[J]. 临床外科杂志,2015,23(6): 405-406.
[9] 凌国源,黄锦丰,梁月盛,等. 球囊辅助Onyx联合弹簧圈 栓塞治疗外伤性颈动脉海绵窦瘘[J]. 卒中与神经杂志, 2016,23(3):193-196.
[10] Zhang X, Guo W, Shen R et al. Combined use of Onyx and coils for transarterial balloon-assisted embolization of traumatic carotid-cavernous fistulas: a report of 16 cases with 17 fistulas [J]. J Neurointervent Surg, 2016, 1(14): 1-4.
[11] Kocer N, Kizilkilic O, Albayram S, et al. Treatment of iatro genic internal carotid artery laceration and carotid cave- rnous fistula with endovascular stent-graft placement [J]. AJNR Am J Neuriradiol, 2002, 23(3): 442-446.
[12] 冯子民,张四南,周小沅. 外伤性颈动脉海绵窦瘘误诊为 眼眶蜂窝织炎:1例报道及文献复习[J]. 中国临床神经外 科杂志,2018,23(4):268-269.

相似文献/References:

[1]王 俊 湛利平 李巧玉.颅底骨折并发颈内动脉假性动脉瘤的介入治疗[J].中国临床神经外科杂志,2016,(09):560.[doi:10.13798/j.issn.1009-153X.2016.09.017]
[2]马廉亭.CS-DAVF和TCCF的区别——还CS-DAVF本来面目并为其正名[J].中国临床神经外科杂志,2017,(03):129.[doi:10.13798/j.issn.1009-153X.2017.03.001]
[3]高 涢 田春雷 综述 王雄伟 审校.创伤性胼周动脉动脉瘤的诊断与治疗[J].中国临床神经外科杂志,2017,(05):360.[doi:10.13798/j.issn.1009-153X.2017.05.029]
[4]冯子民 张四南 周小沅.外伤性颈动脉海绵窦瘘误诊为眼眶蜂窝织炎:1例报道及文献复习[J].中国临床神经外科杂志,2018,(04):268.[doi:10.13798/j.issn.1009-153X.2018.04.016]
[5]宋 平 罗 明 王 远 黄从刚 李继强 丁 伟 王孟阳 段发亮.经股动脉介入术后致假性动脉瘤2例[J].中国临床神经外科杂志,2018,(04):304.[doi:10.13798/j.issn.1009-153X.2018.04.030]
[6]徐东为 闫忠军 赵振伟 李 江 张登文 屈 延 高国栋.手法压迫联合动脉压迫器治疗股动脉穿刺后股动脉假性动脉瘤[J].中国临床神经外科杂志,2018,(08):556.[doi:doi:10.13798/j.issn.1009-153X.2018.08.016]
[7]廖旭兴 钟伟健 董安石 段成斌 林发牧 邓其峻 王 辉.Willis覆膜支架治疗颈内动脉海绵段假性动脉瘤与瘘[J].中国临床神经外科杂志,2018,(12):769.[doi:10.13798/j.issn.1009-153X.2018.12.001]
 LIAO Xu-xing,ZHONG Wei-Jian,DONG An-shi,et al.Treatment of pseudoaneurysms and fistulas of internal carotid arteries cavernous segments with covered stent-graft[J].,2018,(11):769.[doi:10.13798/j.issn.1009-153X.2018.12.001]
[8]宋 健 胡军民 王铄辰 杜 威 潘 力 秦海林 谢天浩 秦 杰 黄 河 姚国杰 马廉亭.复合手术在战、创血管伤救治中的应用研究[J].中国临床神经外科杂志,2020,(10):657.[doi:0.13798/j.issn.1009-153X.2020.10.001]
 SONG Jian,HU Jun-min,WANG Shuo-chen,et al.Hybrid operation for patients with traumatic injuries of large vessels in neck or regions adjacent to trunk[J].,2020,(11):657.[doi:0.13798/j.issn.1009-153X.2020.10.001]
[9]秦 汉 胡军民 秦海林.胶质母细胞瘤术后对侧远隔部位复发并假性动脉瘤、放射性脑梗死1例[J].中国临床神经外科杂志,2021,26(02):141.[doi:10.13798/j.issn.1009-153X.2021.02.028]
[10]叶国辉 潘思源 秦 杰 赵曰圆 秦海林 潘 力 马廉亭 杨 铭.外伤性颈内动脉海绵窦瘘可脱性球囊栓塞术后复发的影响因素分析[J].中国临床神经外科杂志,2021,26(04):254.[doi:10.13798/j.issn.1009-153X.2021.04.010]
 YE Guo-hui,PAN Si-yuan,QIN Jie,et al.Risk factors for postoperative recurrence of patients with traumatic internal carotid cavernous fistula after detachable balloon embolization[J].,2021,26(11):254.[doi:10.13798/j.issn.1009-153X.2021.04.010]

备注/Memo

备注/Memo:
基金项目:湖北省自然科学基金(2016CFB252) 作者单位:430060 武汉,武汉大学人民医院神经外科(张申起、许 州、李明昌、田道锋、刘宝辉、王军民、陈谦学),神经内科(彭彬) 通讯作者:陈谦学,E-mail:chenqx666@sohu.com
更新日期/Last Update: 2018-11-20