摘要
目的：进一步探讨颈动脉海绵窦瘘的血管内介入治疗方法。材料与方法：回顾性研究了１９９２年４月至１９９５年１０月用可脱性球囊技术栓塞治疗颈动脉海绵窦瘘４２例。其中有外伤史者３９例，自发性者３例；４１例球囊充填材料采用浓度为１８０ｍｇＩ／ｍｌ水溶性非离子型造影剂，１例用甲基丙烯酸－２－羟基乙酯（ＨＥＭＡ）。全部病例在神经安定麻醉及全身肝素化下完成。结果：既闭塞瘘口，又保持颈内动脉通畅者３６例，占８５．７％；闭塞颈内动脉及其瘘口部者６例。全部病例随访观察２个月以上，均无瘘口再通。结论：可脱性球囊栓塞是治疗颈动脉海绵窦瘘最理想的首选方法。
Purpose:Furtherinvestigationofintravasculartreatmentofcarotidcavernousfistula(CCF).Materialsandmethods:Retrospectiveanalysisoftheclinical,angiographicstudyanden-dovasculartreatmentwithdetachablebaloonin39traumaticCCFand3spontaneousCCFbetween1992and1995wereunderwent.Thedetachablebaloonwasfiledwithnonioniccontrastmedia180mgI/mlin41casesandHEMAin1case.Alpatientswereheparinizedandondiazepamseda-tionduringtheoperation.Results:Thirty-sixfistulaswereoccludedwithpatencyoftheinternalcarotid(85.7%),6casesweretreatedwithcontemporaryocclusionofthecarotid.Norecanalizationofthefistulawasfoundinalpatientsin2monthfolow-up.Conclusion:Intravascularoclusionus-ingdetachablebaloonisthemethodofchoiceinthetreatmentofCCF.Carefulmanipulationcanmaketheprocedureasafeandreliabletherapy.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第9期599-602,共4页
Chinese Journal of Radiology
关键词
颈动脉疾病
动静脉瘘
栓塞术
CarotidarterydiseasesArteriovenousfistulaEmbolization,therapeutic
