摘要
目的探讨经静脉人路栓塞治疗海绵窦区硬脑膜动静脉瘘的效果。方法经股静脉—岩下窦入路到达病变侧海绵窦,用游离弹簧圈等多种栓塞材料填塞海绵窦,同时闭塞瘘口。结果 3例中全部愈或好转,1例在栓塞治疗后眼部症状消失。栓塞术后最常见症状为头痛伴呕吐。随访3个月到5年未见复发。结论静脉入路栓塞治疗硬脑膜动静脉瘘是一种安全、有效的方法,应作为首选治疗方法。
Objective To investigate the efficiency of treatment of cavernous dural arterinvenous fistulas via the transvenous approach. Mettlods The involved cavernous sinuses were catheterized via femoral vein -inferior petrosal sinus approach and embolized with coils and NBCA. Results 3 patients with cavernous dural arteriovenous fistulas were embolized. Immediate complete angiographic obliteration of the fistulas was achieved in these patients. Headache and vomiting were the most common symptoms after embolization. The follow-up period ranged from 3 months to 5 years. Conclusion Transvenous catheterization and embolization of cavernous sinus is a safe and effective way to treat cavernous dural arteriovenous fistulas.
出处
《当代医学》
2011年第5期18-20,共3页
Contemporary Medicine
关键词
海绵窦
动静脉瘘
栓塞
cavernous sinus arteriovenousfistula embolization
