摘要
目的分析60例外伤性颈内动脉海绵窦瘘用血管内栓塞治疗的方法、结果和技术特点。方法47例用可脱球囊栓塞;12例用弹簧圈栓塞;1例用IBCA胶栓塞。59例经股动脉穿刺插管至颈内动脉进入海绵窦,1例经扩张的眼上静脉插管至海绵窦内。结果①47例球囊栓塞中,35例保持了颈内动脉通畅,占74.5%;12例闭塞了颈内动脉。②12例弹簧圈栓塞中,4例保持了颈内动脉通畅,占33%;8例闭塞了颈内动脉。③1例经眼上静脉插管用IBCA胶栓塞成功。结论介入放射血管内栓塞治疗颈内动脉海绵窦瘘其方法简便、安全可靠、效果良好,特别是用可脱球囊栓塞,保持颈内动脉通畅率高。
? Objective The paper sought to analyse th
e method, result and technical characteristics of endovascular embolization in t
he process of treating 60 patients with carotid cavernous fistulas (CCF).
Methods 47 patients were embolised with detachable ba
lloon, 12 with coil, 1 with IBCA. Catheterizations were performed in 59 patients
via. the femoral artery, and in 1 by way of dilated superior ophthalmic vein (S
OV). Results 47 patients undergone emdolization with balloon, the c
arotid arteries remained patent in 35 patients (74%) and were occluded in 12 pat
ients (24%) after embolization. Of the 12 cases embolised with coil, the patency
of carotid arteries were achieved in 4 patients (33%), and were occluded in 8.
Embolization with IBCA was succeeded in 1 patient by route of SOV.
Conclusions Interventional endovascular therapy is a convenient, sa
fe and effective way for the treatment of CCF. Additionally the higher rate of p
atency of the carotid artery can be attained when detachable balloon is adopted
as embolic material.
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出处
《介入放射学杂志》
CSCD
1999年第3期130-131,共2页
Journal of Interventional Radiology