球囊辅助栓塞硬脑膜动静脉瘘

Efficacy of balloon-assisted embolization for dural arteriovenous fistula (report of 17 cases)

目的评估球囊辅助栓塞硬脑膜动静脉瘘的临床效果。方法回顾性分析2010年10月至2012年8月收治的17例硬脑膜动静脉瘘患者的临床资料,其中位于横窦、乙状窦区11例,颈静脉孔区4例,上矢状窦区2例;均行球囊辅助栓塞硬脑膜动静脉瘘;6例经动脉途径栓塞,3例经静脉途径栓塞,8例经动脉及静脉相结合途径栓塞。结果 17例患者中,栓塞后即刻造影复查示,瘘口完全消失11例,部分消失6例。17例病人随访3个月~2年,无加重及复发者;瘘口完全消失13例,部分消失4例。结论球囊辅助栓塞硬脑膜动静脉瘘是一种安全、有效的方法。

Objective To evaluate the efficacy of balloon-assisited embolization for dural arteriovenous fistula （DAVF）. Methods The clinical data of 17 patients with DAVF, who underwent embolization from October 2010 to August 2012, were analyzed retrospectively. Results The orificium fistulae of 15 patients located at transverse-sigmoid sinus, 4 at jugular foramen and 2 at superior sagittal sinus. Of 17 patients with DAVF, 6 patients were embolized through arterial approach, 3 through venous approach and 8 through arterial and venous approach. The DSA immediately after embolization showed that the orificium fistulae were completely occluded in 11 patients and greatly partial in 6. All patients were followed up from 3 months to 2 years. No patient worsened or recurred, and no patient died. Two orificium fistulae disappeared and 4 did not change during the follow-up in 6 patients with partial occlusion of orificium fistulae. Conclusion Balloon-assisted embolization is an effective and safe method for treatment of patients with DAVF.