[1]徐修鹏,路华.经眼动脉途径栓塞治疗颅前窝底硬脑膜动静脉瘘的临床疗效[J].中国临床神经外科杂志,2023,28(12):678-680684.[doi:10.13798/j.issn.1009-153X.2023.12.002]
　XU Xiu-peng,LU Hua.Clinical efficacy of embolization via transophthalmic arterial approach for patients with anterior skull base dural arteriovenous fistulas[J].,2023,28(12):678-680684.[doi:10.13798/j.issn.1009-153X.2023.12.002]
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经眼动脉途径栓塞治疗颅前窝底硬脑膜动静脉瘘的临床疗效()
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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12期
页码:
678-680684
栏目:
论著
出版日期:
2023-12-31

文章信息/Info

Title:
Clinical efficacy of embolization via transophthalmic arterial approach for patients with anterior skull base dural arteriovenous fistulas
文章编号:
1009-153X（2023）12-0678-03
作者:
徐修鹏; 路华
210029南京，南京医科大学第一附属医院神经外科（徐修鹏、路华）
Author(s):
XU Xiu-peng;  LU Hua
Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
关键词:
颅前窝底硬脑膜动静脉瘘; 血管内治疗; 经眼动脉途径; Onyx-18胶; 疗效
Keywords:
Anterior skull base dural arteriovenous fistulas;  Endovascular embolization;  Transophthalmic arterial approach;  Onyx-18 glue;  Clinical efficacy
分类号:
R 743; R 815.2
DOI:
10.13798/j.issn.1009-153X.2023.12.002
文献标志码:
A
摘要:
目的 探讨经眼动脉途径栓塞颅前窝底硬脑膜动静脉瘘（DAVF）的临床疗效。方法 回顾性分析2017年4月至2022年5月经眼动脉途径栓塞治疗的9例颅前窝底DAVF的临床资料。结果 额叶血肿合并蛛网膜下腔出血4例，头痛2例，球结膜水肿1例，无症状2例。Cognard分型Ⅲ型2例，Ⅳ型7例。9例均采用Onyx-18胶栓塞，术后即刻造影显示均完全栓塞，无手术并发症。术后随访6~18个月，平均（11.8±1.33）个月。末次随访，症状均消失，无复发。结论 经眼动脉途径栓塞颅前窝底DAVF可以安全、有效的闭塞瘘口，近、中期疗效良好。
Abstract:
Objective To investigate the clinical efficacy of embolization via transophthalmic arterial approach for patients with anterior skull base dural arteriovenous fistulas (DAVF). Methods A retrospective analysis was conducted on the clinical data of 9 patients with anterior skull base DAVF who underwent embolization via transophthalmic arterial approach from April 2017 to May 2022. Results Four patients presented with frontal lobe hematoma with subarachnoid hemorrhage, 2 with headache, 1 with conjunctival edema and 2 without any symptoms. Two patients were classified as Cognard type Ⅲ and 7 as type Ⅳ. Onyx-18 glue was used in all 9 patients, and immediate postoperative angiography showed complete embolization without surgical complications. The average follow-up was (11.8±1.33) months, ranging from 6 to 18 months. At the last follow-up, all symptoms disappeared without recurrence in all patients. Conclusions Embolization via transophthalmic arterial approach is clinically safe and feasible for patients with anterior skull base DAVF, with short-term and mid-term good efficacy.

参考文献/References:

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备注/Memo

备注/Memo:
（2023-06-24收稿，2023-08-12修回）
基金项目：国家自然科学基金（82203767）；江苏省自然科学基金（BK20201077）
通讯作者：路　华，E-mail：luhua@njmu.edu.cn
更新日期/Last Update: 2023-12-31