[1]张 敏 杨 铭 潘 力 秦 杰 黄 河 赵曰圆 向伟楚 吕福群 马廉亭 野路明.4D-DSA在硬脑膜动静脉瘘诊治中的应用[J].中国临床神经外科杂志,2020,(03):129-133.[doi:10.13798/j.issn.1009-153X.2020.03.001]
 ZHANG Min,YANG Ming,PAN Li,et al.Application of 4D-DSA imaging to diagnosis and treatment of dural arteriovenous fistulas[J].,2020,(03):129-133.[doi:10.13798/j.issn.1009-153X.2020.03.001]
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4D-DSA在硬脑膜动静脉瘘诊治中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年03期
页码:
129-133
栏目:
论著
出版日期:
2020-03-31

文章信息/Info

Title:
Application of 4D-DSA imaging to diagnosis and treatment of dural arteriovenous fistulas
文章编号:
1009-153X(2020)03-0129-05
作者:
张 敏 杨 铭 潘 力 秦 杰 黄 河 赵曰圆 向伟楚 吕福群 马廉亭 野路明
430065 武汉,武汉科技大学医学院(张 敏、杨 铭);430070 武汉,中国人民解放军中部战区总医院神经外科(张 敏、杨 铭、潘 力、黄 河、秦 杰、赵曰圆、向伟楚、吕福群、马廉亭、野路明)
Author(s):
ZHANG Min1 YANG Ming12 PAN Li2 QIN Jie2 HUANG He2 ZHAO Yue-yuan2 XIANG Wei-chu2 LV Fu-quan2 MA Lian-ting2 YE Lu-ming2.
1. School of Medicine, Wuhan University of Sciences and Technology, Wuhan 430065, China; 2. Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
硬脑膜动静脉瘘四维数字减影血管造影血管构筑学血流动力学血管内栓塞
Keywords:
Dural arteriovenous fistulas Vascular architecture Four-dimensional angiography Haemodynamics Endovascular
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2020.03.001
文献标志码:
A
摘要:
目的 探讨4D-DSA在硬脑膜动静脉瘘(DAVF)诊断和治疗中的应用价值。方法 回顾性分析2018年3月到2019年10月采用4D-DSA诊断和指导血管内栓塞治疗的10例DAVF的临床资料及影像学资料,对其血管构筑学进行系统分析,并通过彩色血流全循环成像(iFlow)技术进行对比分析。结果 10例病人4D-DSA均可以清晰看到DAVF的瘘口(微孔复合体)、血管构筑和血流动力学流向,完成Cognard分型,并在4D-DSA引导下行血管内栓塞治疗。栓塞治疗后,10例病人iFlow结果显示患侧颈内动脉分叉部、大脑中动脉分叉部、窦汇区的造影剂达峰时间较术前明显缩短(P<0.05)。结论 4D-DSA不仅可以对DAVF的血管构筑学、血流动力学有直观地理解,完成其分型和分类,并且可优化手术治疗方案
Abstract:
Objective To explore the value of 4D-DSA to the diagnosis and treatment of dural arteriovenous fistulas (DAVF). Methods The clinical data and imaging data of 10 patients with DAVF diagnosed using 4D-DSA and treated with endovascular embolization under the guidance of 4D-DSA from March 2018 to October 2019 were analyzed retrospectively. The vascular architecture was systematically analyzed by 4D-DSA. The results of 4D-DSA were compared with the results of iFlow imaging. Results The 4D-DSA images of 10 patients clearly showed the fistulas (microporous complex), vascular structure and hemodynamic flow direction of DAVF. The Cognard classification was completed by 4D-DSA. The endovascular embolization was performed successfully in all the patients under the guidance of 4D-DSA. After embolization, the iFlow imaging results of 10 patients showed that the times to peak of contrast medium in the affected internal carotid artery bifurcation, middle cerebral artery bifurcation, and sinus confluence area were significantly lower than before surgery (P<0.05). Conclusions The 4D-DSA can intuitively understand the vascular architecture and hemodynamics of DAVF, complete the typing and classification of DAVF, and optimize the surgical treatment plan for DAVF.

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备注/Memo

备注/Memo:
通讯作者:杨 铭,E-mail:yangming3060@sina.com (2020-02-24收稿)
更新日期/Last Update: 2020-03-10