经眼上静脉途径栓塞治疗自发性海绵窦硬膜动静脉瘘

Treatment of spontanuous carvernous sinus dural arterial venous fistula by embolization of the superior opthalmic vein.

目的观察填塞海绵窦（ＣＳ），治疗海绵窦硬膜动静脉瘘的疗效。方法经眼上静脉（ＳＯＶ）途径栓塞治疗自发性海绵窦硬膜动静脉瘘，因ＳＯＶ显著扩张、动脉化，使导管可直接插入ＣＳ，推入栓塞材料，填塞ＣＳ，治愈海绵窦硬膜动静脉瘘，同时又不影响同侧颈内动脉的供血。结果９例病人通过数字减影全脑血管造影，确证为Ｂａｒｏｗ分类的Ｂ，Ｃ和Ｄ型瘘，经栓塞ＣＳ治疗，２个月后９例病人的症状全部消失。结论该法是治疗自发性海绵窦硬膜动静脉窦的有效手段。

Objective To treat carvernous sinus dural arterial venous fistula by interposing the carvernous sinus (CS). Methods We have reported 9 cases with spontanuous carvernous sinus dural arteriovenous fistula which was treated by embolizing the superior ophthalmic vein (SOV). Significantly enlarged and SOV arteaiolzed made the catheter be directly inserting into the carvernous sinus (CS), with the injection of embolic materials and filling of CS to cure the carvernous sinus dural artery venous fistula without interference of the blood flow within the internal carotid artery on the same side. Results These patients were classificated as B,C, and D typies by the Barrow's method through digital substraction angiography of all the cerebral vessels. After treated by embolization of CS, all the symptoms were completely disappeared at two months later. Conclusions The authors suggested that it is the efficient methed to treat spontanuous carvernous sinus dural artery venous fistula.