Endovascular treatment of cavernous fistulae: experience of 28 patients
Author(s): QI Tiewei, LIANG Feng, JING Huawei, GUO Shaolei, SHI Zhongsong, HUANG Zhengsong, YANG Lixuan, LI Xuesong
Pages: 87-90
Year: 2008 Issue: 2
Journal: CHINESE JOURNAL OF NERVOUS AND MENTAL DISEASES
Keyword: 颈动脉海绵窦瘘; 血管内治疗; 带膜支架; 可脱球囊; 弹簧圈;
Abstract: 目的 介绍血管内介入治疗28例病人共29个颈动脉海绵窦瘘(CCF)的经验.方法 将病人分为栓塞组(21例共21个CCF)和带膜支架组(7例共8个CCF),分别使用可脱球囊或弹簧圈栓塞术和带膜支架技术治疗,评价临床效果和影像学变化,比较CCF的闭塞率和ICA的通畅率.结果 所有病例术后临床症状消失,无手术相关死亡.所有病例的CCF均完全闭塞,栓塞组ICA通畅占14/21,带膜支架组ICA通畅占7/8.结论 可脱球囊或弹簧圈栓塞术和带膜支架技术都是血管内治疗CCF的有效方法.初步的研究结果提示带膜支架技术在保持颈内动脉通畅方面可能优于可脱球囊或弹簧圈栓塞术,但仍需更大规模、更长随访时间的随机研究来进一步证实该技术在血管内治疗CCF中的价值.
Pages: 87-90
Year: 2008 Issue: 2
Journal: CHINESE JOURNAL OF NERVOUS AND MENTAL DISEASES
Keyword: 颈动脉海绵窦瘘; 血管内治疗; 带膜支架; 可脱球囊; 弹簧圈;
Abstract: 目的 介绍血管内介入治疗28例病人共29个颈动脉海绵窦瘘(CCF)的经验.方法 将病人分为栓塞组(21例共21个CCF)和带膜支架组(7例共8个CCF),分别使用可脱球囊或弹簧圈栓塞术和带膜支架技术治疗,评价临床效果和影像学变化,比较CCF的闭塞率和ICA的通畅率.结果 所有病例术后临床症状消失,无手术相关死亡.所有病例的CCF均完全闭塞,栓塞组ICA通畅占14/21,带膜支架组ICA通畅占7/8.结论 可脱球囊或弹簧圈栓塞术和带膜支架技术都是血管内治疗CCF的有效方法.初步的研究结果提示带膜支架技术在保持颈内动脉通畅方面可能优于可脱球囊或弹簧圈栓塞术,但仍需更大规模、更长随访时间的随机研究来进一步证实该技术在血管内治疗CCF中的价值.
Citations
- 经血管内途径栓塞治疗颈动脉海绵窦瘘(附216例报告) 段传志 中国神经精神疾病杂志
- 血管内栓塞治疗外伤性颈内动脉海绵窦瘘的临床探讨 齐铁伟 中华神经医学杂志
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