Yu Z, Ma L, Yang M, Qin S, Xu G, Gong J, Hu J, Pan L, Yao G, Zhang X
Department of Neurosurgery, Wuhan General Hospital, Chinese People's Liberotion Army, Wuhan 430070, China.
Zhonghua Wai Ke Za Zhi. 2000 Feb;38(2):112-3.
To study the pathogenesis and treatment of dural arteriovenous fistulas (DAVFS) involving the cavernous sinus.
32 cases were embolized with particle by microcatheterization via endovascular approach and ervation by digital substraction angiography. Of the 32 cases, 14 were embolized by microsoils through superior petrosal sinus approach into the cavernous sinus.
In 28 of the 32 cases the fistulas were completely embolized angiographically. The fistulas were partly embolized in 4 of the 32 cases. The carotid artery was compressed for 6 months. One week later, the fistula disappeared angiographically. No fistulas were found during the follow-up for 6 months to 8 years.
Endovascular treatment of DAVFS involving the cavernous sinus is effective.
研究累及海绵窦的硬脑膜动静脉瘘（DAVFS）的发病机制及治疗方法。
对32例患者采用血管内介入方法经微导管进行颗粒栓塞，并通过数字减影血管造影进行观察。32例中，14例经岩上窦途径将微弹簧圈栓塞入海绵窦。
32例中28例瘘口经血管造影显示完全栓塞。32例中有4例瘘口部分栓塞。对颈内动脉压迫6个月。1周后，瘘口经血管造影消失。随访6个月至8年未发现瘘口。
血管内治疗累及海绵窦的DAVFS是有效的。
