[1]董安石　廖旭兴　钟伟健　段成斌　刘鑫鑫　邓其峻　王　辉.血管内栓塞治疗侧窦区硬脑膜动静脉瘘（附10例报道）[J].中国临床神经外科杂志,2018,(12):782-784.[doi:10.13798/j.issn.1009-153X.2018.12.005]
　DONG An-shi,LIAO Xu-xing,ZHONG Wei-jian,et al.Endovascular treatment of dural arteriovenous fistulas in the lateral sinus regions[J].,2018,(12):782-784.[doi:10.13798/j.issn.1009-153X.2018.12.005]
点击复制

血管内栓塞治疗侧窦区硬脑膜动静脉瘘 （附10例报道）()
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12期
页码:
782-784
栏目:
论著
出版日期:
2018-12-25

文章信息/Info

Title:
Endovascular treatment of dural arteriovenous fistulas in the lateral sinus regions
文章编号:
1009-153X（2018）12-0782-03
作者:
董安石　廖旭兴　钟伟健　段成斌　刘鑫鑫　邓其峻　王　辉
528000 广东，佛山市第一人民医院神经外科（董安石、廖旭兴、钟伟健、段成斌、刘鑫鑫、邓其峻、王　辉）
Author(s):
DONG An-shi;  LIAO Xu-xing;  ZHONG Wei-jian;  DUAN Cheng-bin;  LIU Xin-xin;  DENG Qi-jun;  WANG Hui.
Department of Neurosurgery, The First Hospital of Foshan City, Foshan 528000, China
关键词:
硬脑膜动静脉瘘; 侧窦区; 血管内栓塞; 异位复发
Keywords:
Aural arteriovenous fistulas;  Lateral sinus;  Endovascular embolization;  Ectopic recurrence
分类号:
R743.4;R815.2
DOI:
10.13798/j.issn.1009-153X.2018.12.005
文献标志码:
A
摘要:
目的 探讨侧窦（横窦-乙状窦）区硬脑膜动静脉瘘（LSDAVF）的血管内栓塞治疗的方法及有效性。方法 回顾性分析2011年7月至2016年6 月血管内栓塞治疗的10例LADAVF的临床资料，经右侧股动脉-颈外动脉-脑膜中动脉Onyx胶栓塞8例，经左侧股静脉-下腔静脉-颈内静脉球囊保护下 Onyx胶栓塞2例。结果 术后即刻造影完全栓塞8例，大部分栓塞2例，未出现并发症。术后随访6个月~2年，8例无加重及复发，2例异位复发。结论 血 管内栓塞治疗LSDAVF是一种相对安全、简单、有效的治疗方法，必要时需配合静脉窦球囊保护下进行；闭塞瘘口同时闭塞部分无功能静脉窦存在短期 内异位复发可能。
Abstract:
Objective To investigate the feasibility, safety and outcomes of the endovascular treatment through arterial approach of lateral sinus (transverso-sigmoid sinus) dural arteriovenous fistulas (AVFs). Method The clinical data of 10 patients with dural AVFs in the lateral sinus regions, which were treated by the endovascular embolization through arterial approach with Onyx glue from July, 2011 to June, 2016, were analyzed retrospectively. Result DSA immediate after the embolization showed, that the dual AVFs were totally occluded in 8 patients and partly in 2. No complications occurred in all the patients. Following up from 6 months to 2 years showed that of these 10 patients, 8 were recovered well and 2 had ectopic recurrence of AVFs. Conclusion The endovascular embolization is an effective method to treat the dural AVFs in the lateral sinus regions, but there are still some ectopic recurrences in the part patients with dural AVFs.

参考文献/References:

[1] 张　坤，薛绛宇，李天晓，等. 静脉窦开通治疗硬脑膜动静脉瘘伴静脉窦闭塞3例[J]. 介入放射学杂志，2016，25（4）：345-349.
[2] Takada S, Isaka F, Nakakuki T, et al. Torcular dural arteriovenous fistula treated via stent placement and angioplasty inthe affected straight and transverse sinuses: case report [J]. J Neurosurg, 2015, 122(5): 1208-1213.
[3] Murphy KJ, Gailloud P, Venbrux A, et al. Endovascular treatment of a grade Ⅳ transverse sinus dural arteriovenous fistula by sinus recanalization, angioplasty, and stent place-ment: technical case report [J]. Neurosurgery, 2000, 46: 497-500.
[4] Kirsch M, Liebig T, Kühne D, et al. Endovascular manage-ment of dural arteriovenous fistulas of the transverse and sigmoid sinus in 150 patients [J]. Neuroradiology, 2009, 51(7): 477-483.
[5] 蔡明俊，马廉亭，黄绳跃，等. 硬脑膜动静脉瘘的治疗分析[J]. 中国临床神经外科杂志，2013，18（12）：708-710.
[6] 张小军，李昌华，王守森，等. 颅内静脉窦血栓形成后硬脑膜动静脉瘘[J]. 中国临床神经外科杂志，2010，15（15）：449-452.
[7] Kiyosue H, Tanoue S, Okahara M, et al. Angioarchitecture of transverse-sigmoid sinus dural arteriovenous fistulas: evaluation of shunted pouches by multiplanar reformatted images of rotational angiography [J]. AJNR Am J Neurora-diol, 2013, 34(8): 1612-1620.
[8] 白志峰，李冬梅，高　天，等. 动脉入路横窦-乙状窦区硬脑膜动静脉瘘栓塞术的血管选择[J]. 临床荟萃，2013，28（9）：970-974.
[9] Jiang C, LV X , Li Y, et al. Transarterial Onyx packing of thetransverse-sigmoid sinus for dural arteriovenous fistulas [J].Eur J Radiol, 2011, 80(3): 767-770.
[10] Yamamoto T, Ohshima T, Goto S, et al. A case of cavernous sinus dural arteriovenous fistula after transverse-sigmoid sinus dural arteriovenous fistula treatment with radical transvenous coil embolization [J]. No Shinkei Geka, 2015, 43(8): 753-757.
[11] 刘新峰，李宝民，李　生，等. 闭塞静脉窦治疗颅后窝硬脑膜动静脉瘘的疗效分析[J]. 中国脑血管病杂志，2011，8 （5）：259-264.
[12] 张　鹏，李　萌，宋庆斌，等. 大鼠静脉窦高压致硬膜血]管变化的研究[J]. 中国脑血管病杂志，2006，3（2）：71-73.

相似文献/References:

[1]张小征　莫雪红　杨　铭　李　俊　潘　力　陈　刚.彩色多普勒超声检测在硬脑膜动静脉瘘诊断中的应用[J].中国临床神经外科杂志,2017,(03):135.[doi:10.13798/j.issn.1009-153X.2017.03.002]
　ZHANG Xiao-zheng,MO Xue-hong,YANG Ming,et al.Application of transcranial color Doppler ultrasonography to diagnosis of dural arteriovenous fistulas[J].,2017,(12):135.[doi:10.13798/j.issn.1009-153X.2017.03.002]
[2]边　远　汤树洪　谭　衍　郑惠娜　梁　敏　冼克聪.Onyx胶联合弹簧圈治疗海绵窦区硬脑膜动静脉瘘[J].中国临床神经外科杂志,2018,(01):43.[doi:10.13798/j.issn.1009-153X.2018.01.017]
[3]尧小龙　丁　卫　岳鹏杰　胡　威　赵　恺　陈劲草　张华楸.颅前窝底硬脑膜动静脉瘘9例治疗分析[J].中国临床神经外科杂志,2018,(03):186.[doi:10.13798/j.issn.1009-153X.2018.03.015]
[4]马廉亭,谢天浩,徐召溪.脑动静脉畸形、硬脑膜动静脉瘘与软脑膜动静脉瘘的鉴别[J].中国临床神经外科杂志,2019,(06):321.[doi:10.13798/j.issn.1009-153X.2019.06.001]
[5]王　涛　许　川　徐国政　向伟楚　祝友红　黄　成.伽玛刀治疗硬脑膜动静脉瘘的疗效观察[J].中国临床神经外科杂志,2019,(11):651.[doi:10.13798/j.issn.1009-153X.2019.11.004]
　WANG Tao,XU Chuan,XU Guo-zheng,et al.Curative effect of gamma knife on dural arteriovenous fistulas (report of 26 cases)[J].,2019,(12):651.[doi:10.13798/j.issn.1009-153X.2019.11.004]
[6]曾　实　 杨东虹　杨华江　徐伦山　易　良.眼眶内动静脉瘘2例[J].中国临床神经外科杂志,2020,(01):57.[doi:10.13798/j.issn.1009-153X.2020.01.021]
[7]叶铨秋　池锐彬.利用颈静脉血氧饱和度早期识别硬脑膜动静脉瘘1例[J].中国临床神经外科杂志,2020,(12):896.[doi:10.13798/j.issn.1009-153X.2020.12.029]
[8]常晗晓　沈榆棋　李　征　林　超　陈　骅　路　华.复合手术在硬脑膜动静脉瘘治疗中的应用[J].中国临床神经外科杂志,2021,26(07):508.[doi:10.13798/j.issn.1009-153X.2021.07.004]
　CHANG Han-xiao,SHEN Yu-qi,LI Zheng,et al.Hybrid operation for patients with dural arteriovenous fistula (report of 10 ceses)[J].,2021,26(12):508.[doi:10.13798/j.issn.1009-153X.2021.07.004]
[9]李欢欢　李　俊　游慧超　陈迎春　林爱龙　盛柳青　尧小龙.与板障静脉沟通的硬脑膜动静脉瘘并发颅内出血1例报道及文献复习[J].中国临床神经外科杂志,2021,26(07):529.[doi:10.13798/j.issn.1009-153X.2021.07.011]
　LI Huan-huan LI Jun,YOU Hui-chao,CHEN Ying-chun,et al.Diagnosis and treatment of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage: a case report and literature review[J].,2021,26(12):529.[doi:10.13798/j.issn.1009-153X.2021.07.011]
[10]刘华亭　王慧星　王家清等.经单侧岩下窦入路跨海绵间窦栓塞双侧海绵窦区硬脑膜动静脉瘘1例[J].中国临床神经外科杂志,2021,26(11):895.[doi:10.13798/j.issn.1009-153X.2021.11.026]

备注/Memo

备注/Memo:
doi:10.13798/j.issn.1009-153X.2018.12.005 基金项目：广东省佛山市医学科技攻关项目（201308089；20151020138）；佛山市医学科研立项课题（20180051）；广东省佛山市“十三·五”医学 重点专科基金（2016906）；佛山市杰出青年医学人才基金（2018132） 作者单位：528000 广东，佛山市第一人民医院神经外科（董安石、廖旭兴、钟伟健、段成斌、刘鑫鑫、邓其峻、王　辉） 通讯作者：廖旭兴，E-mail：drliao@126.com
更新日期/Last Update: 2018-12-26