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两例经特殊栓塞治疗的血管球瘤

Two cases of glomus tumour treated by unusual embolization.

作者信息

Ruggiero G, Grillo B A, Santoro G

出版信息

Neuroradiology. 1976 Sep 21;11(5):265-9. doi: 10.1007/BF00328384.

Abstract

Two cases of glomus tumour treated by the catheterization technique are reported. In the first case, after it was found impossible to catheterize the external carotid artery by the femoral route, the external carotid was punctured directly, became spasmodic and the catheter could not be introduced, so the inner wall of the external carotid was eroded by manipulating the tip of the metallic guide. This resulted in complete occlusion of the artery 1 cm above the bifurcation of the common carotid. The second case was first treated by embolization of the ascending pharyngeal artery, but with only transitory improvement, so, after 2 months, additional embolization was performed via the vertebral artery, which was followed by immediate and lasting improvement.

摘要

报告了两例采用导管插入技术治疗的血管球瘤病例。第一例中,经股动脉途径无法对颈外动脉进行插管,遂直接穿刺颈外动脉,动脉发生痉挛,导管无法插入,于是通过操作金属导丝尖端侵蚀了颈外动脉内壁。这导致颈总动脉分叉上方1厘米处的动脉完全闭塞。第二例最初通过栓塞咽升动脉进行治疗,但仅有短暂改善,因此在2个月后,经椎动脉进行了额外栓塞,随后立即获得了持久改善。

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