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[介入神经放射学的适应症。动脉溶栓、血管成形术和栓塞术]

[Indications for interventional neuroradiology. Arterial lysis, angioplasty and embolizing procedures].

作者信息

Grzyska U, Zeumer H

机构信息

Abteilung Neuroradiologie, Krankenhaus Eppendorf, Universität Hamburg.

出版信息

Fortschr Med. 1991 Mar 30;109(9):199-203.

PMID:1829431
Abstract

Interventional neuroradiology (INR) includes such occlusive procedures as, for example, pre-operative embolization of cerebral and spinal arteriovenous malformation (AVM) and extracerebral head and neck tumors (meningioma, angiofibromas, etc.). In addition to this combined neuroradiological/surgical treatment, cranial and spinal dural fistulas, and traumatic arteriovenous fistulas as well as certain aneurysms at the base of the skull, may also be indications for transvascular embolization treatment alone. Recanalizing procedures (local fibrinolysis, percutaneous transluminal angioplasty (PTA] are employed for the most part in the vertebrobasilar and, with reservations, also in the carotid territories.

摘要

介入神经放射学(INR)包括诸如术前栓塞脑和脊髓动静脉畸形(AVM)以及脑外头颈部肿瘤(脑膜瘤、血管纤维瘤等)之类的闭塞性手术。除了这种神经放射学/外科联合治疗外,颅和脊髓硬脑膜瘘、创伤性动静脉瘘以及颅底某些动脉瘤,也可能是单独进行经血管栓塞治疗的适应症。再通手术(局部纤维蛋白溶解、经皮腔内血管成形术(PTA))大多用于椎基底动脉区域,在颈动脉区域使用时需谨慎。

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