海绵窦区硬脑膜动静脉瘘的栓塞治疗

Embolization of dural arteriovenous fistula of the cavernous sinus in 12 patients

目的 探讨海绵窦区硬脑膜动静脉瘘的治疗方法。方法 海绵窦区硬脑膜动静脉瘘共 12例 ,经颈外动脉以微粒栓塞 3例 ;以正丁基氰基丙烯酸异丁酯 (NBCA)栓塞 2例 ;经颈外动脉插入海绵窦以NBCA栓塞1例 ;经岩下窦以机械可脱性弹簧圈 (MDS)栓塞 1例 ;经眼上静脉以MDS栓塞 5例。结果 瘘口完全消失 8例 ;瘘口残留 4例 ,其中 2例瘘口残留患者 3个月后症状好转。结论 根据不同的类型 。

Objective To evaluate the role of embolization in the treatment of dural arteriovenous fistula of the cavernous sinus. Methods Twelve patients were reviewed. Five patients were embolized via arterial approach with microgranules (3 patients) and cyanoacrylates (2 patients). One patient received n butyl isobutylcyanoacrylate NBCA embolization through a microcatheter at the cavernous sinus by arterial approach. Five patients were embolized via retrograde transvenous superior ophthalmic vein (SOV) approach with Mechanically Detachable System(MDS) and one via inferior petrosal sinus.Results Angiography immediately after embolization disclosed that the lesion were obliterated entirely in 8 cases and partially in 4 . And 2 of the patients who had been partially embolized had good clinical recovery in three months. Conclusion Transvenous embolization is a useful approach in the management of this lesion. Transarterial embolization is also selectable .