[1]安学锋,赵曰圆,秦杰,等.软脑膜动静脉瘘的血管内介入治疗分析[J].中国临床神经外科杂志,2022,27(08):625-628.[doi:10.13798/j.issn.1009-153X.2022.08.001]
　AN Xue-feng,ZHAO Yue-yuan,QIN Jie,et al.Clinical analysis of endovascular interventional therapy for patients with pial arteriovenous fistula: report of 9 cases and literature review[J].,2022,27(08):625-628.[doi:10.13798/j.issn.1009-153X.2022.08.001]
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软脑膜动静脉瘘的血管内介入治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年08期
页码:
625-628
栏目:
论著
出版日期:
2022-08-31

文章信息/Info

Title:
Clinical analysis of endovascular interventional therapy for patients with pial arteriovenous fistula: report of 9 cases and literature review
文章编号:
1009-153X(2022)08-0625-04
作者:
安学锋; 赵曰圆; 秦杰; 吕福群; 向伟楚; 潘力; 杨铭; 马廉亭
430070 武汉，中国人民解放军中部战区总医院神经外科（安学锋、赵曰圆、秦杰、吕福群、向伟楚、潘力、杨铭、马廉亭）
Author(s):
AN Xue-feng;  ZHAO Yue-yuan;  QIN Jie;  Lv Fu-qun;  XIANG Wei-chu;  PAN Li;  YANG Ming;  MA Lian-ting
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
软脑膜动静脉瘘; 血管内治疗; 临床特征; 影像学特征; 疗效
Keywords:
Pial arteriovenous fistula;  Endovascular treatment;  clinical features;  Imaging features;  Efficacy
分类号:
R743;R815.2
DOI:
10.13798/j.issn.1009-153X.2022.08.001
文献标志码:
A
摘要:
目的 探讨软脑膜动静脉瘘（PAVF）的临床特征、影像学特征、血管内介入治疗方法及疗效。方法 回顾性分析2013年12月至2019年12月血管内介入治疗的9例PAVF的临床资料。结果 年龄3~23岁，平均（12.3±6.0）岁；头痛5例（颅内出血3例），癫痫发作3例，肢体无力1例。大脑后动脉供血2例，大脑中动脉供血3例，大脑前动脉供血2例，小脑后下动脉供血1例，大脑中动脉+大脑前动脉供血1例；皮层静脉引流8例，深部静脉引流1例。Onyx胶+弹簧圈栓塞治疗8例，单纯弹簧圈栓塞治疗1例。术后即刻造影显示9例均达到治愈性栓塞。术后未出现手术相关并发症。9例术后随访1~8个月，完成DSA随访6例，320-CTA随访2例，MRA随访1例；9例瘘口均未见复发；8例症状完全缓解，1例口服抗癫痫药物控制癫痫。结论 PAVF是一种罕见的脑血管病，以儿童多见，临床表现多样化；随医学技术的发展，治疗首选血管内介入栓塞，是一种安全、有效的治疗方案。
Abstract:
Objective To investigate the clinical and imaging features of the patients with pial arteriovenous fistula (PAVF), and to explore the methods and efficacy of endovascular interventional treatment for the patients with PAVF. Methods The clinical data of 9 patients with PAVF who underwent endovascular treatment from December 2013 to December 2019 were retrospectively analyzed. Results The age ranged from 3 to 23 years, with an average of (12.3±6.0) years. Five patients suffered from headache including 3 intracranial hemorrhage, 3 suffered from epilepsy, and 1 suffered from limb weakness. The arteries supplying PAVF included posterior cerebral artery in 2 patients, middle cerebral artery in 3, anterior cerebral artery in 2, posterior inferior cerebellar artery in 1, and middle cerebral artery+anterior cerebral artery in 1. The draining veins included cortical venous drainage in 8 patients and deep venous drainage in 1. Eight patients were treated with Onyx glue+coil embolization, and 1 with coil embolization alone. Immediate postoperative angiography showed curative embolization in 9 patients. There were no postoperative complications related to embolization. Nine patients were followed up for 1~8 months after embolization, 6 patients were followed up by DSA, 2 by 320-CTA, and 1 by MRA. There was no recurrence of fistula. The symptoms were completely relieved in 8 patients, and 1 patient took antiepileptic drugs to control epilepsy. Conclusions PAVF is a rare cerebrovascular disease, which is more common in children and has diverse clinical manifestations. With the development of medical technology, endovascular interventional embolization, a safe and effective treatment method, is the first choice for treatment of PAVF.

参考文献/References:

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备注/Memo

备注/Memo:
（2022-04-23收稿，2022-06-21修回）
通讯作者：潘　力，E-mail：plainfat@163.com
更新日期/Last Update: 2022-09-30