Hou Kai, Luo Qi, Chen Qiang, Wang Honglei, Luo Yinan, Wang Changkun
Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China.
Chin Med J (Engl). 2003 May;116(5):661-4.
To describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy.
Eight patients with symptomatic CSdAVFs were treated by endovascular embolization with platinum coils, via the inferior petrosal sinus (IPS) in 6 patients, and via the Sylvian vein after surgical exposure in other 2 patients.
Complete angiographic resolution of the fistula was obtained in six patients immediately after the procedures, and a complete resolution of symptoms and signs was achieved in all patients. The residual fistulas in two patients disappeared completely in the follow-up angiography.
Transvenous embolization is a useful and safe approach in the management of CSdAVFs.
描述经静脉导管技术治疗海绵窦硬脑膜动静脉瘘（CSdAVF），包括其适应证、并发症及疗效。
8例有症状的CSdAVF患者接受血管内铂圈栓塞治疗，6例经岩下窦（IPS），另2例在手术暴露后经大脑中浅静脉。
6例患者术后即刻造影显示瘘完全消失，所有患者症状和体征完全缓解。2例残留瘘在随访造影中完全消失。
经静脉栓塞是治疗CSdAVF的一种有效且安全的方法。
