Suzuki S, Lee D W, Jahan R, Duckwiler G R, Viñuela F
Division of Interventional Neuroradiology, Department of Radiological Sciences, UCLA School of Medicine, University of California-Los Angeles, 10833 LeConte Avenue, Los Angeles, CA 90095, USA.
AJNR Am J Neuroradiol. 2006 Jun-Jul;27(6):1346-9.
Three patients with spontaneous dural carotid-cavernous fistulas were treated by using a combination of detachable coils and Onyx liquid embolic agent. Cavernous sinus was accessed via the superior ophthalmic vein or inferior petrous sinus approach. In all cases, a complete angiographic closure of the fistulas was achieved with full recovery from neuro-ophthalmologic symptoms. This report suggests that the controlled and excellent penetration of Onyx is superb for blocking the intricate communication of dural carotid-cavernous fistulas.
三名自发性硬脑膜动静脉瘘患者采用可脱卸弹簧圈和Onyx液体栓塞剂联合治疗。通过眼上静脉或岩下窦入路进入海绵窦。所有病例均实现了瘘口的血管造影完全闭塞,神经眼科症状完全恢复。本报告表明,Onyx可控且出色的渗透性对于阻断硬脑膜动静脉瘘的复杂交通非常有效。