Lv Xianli, Jiang Chuhan, Li Youxiang, Yang Xinjian, Wu Zhongxue
Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University; Beijing, China -
Interv Neuroradiol. 2008 Dec 29;14(4):415-27. doi: 10.1177/159101990801400407. Epub 2009 Jan 5.
This study evaluated angiographic and clinical results in patients with a dural arteriovenous fistula (DAVF) who underwent percutaneous transvenous embolization. Retrospective chart analysis and radiographic studies were performed in 23 patients (aged 11-70 yrs) with a DAVF treated with percutaneous transvenous embolization in the past five years. Lesions were located in the anterior cranial fossa, cerebellar tentorium, transverse-sigmoid sinus and cavernous sinus. All procedures were analyzed with regard to presentation, delivery, angiographical and clinical outcome. Data for 23 patients (age range, 11-70 yrs, mean age 49.5yrs) with DAVFs (cavernous sinus[ CS], n=17; transverse-sigmoid sinus, n=3; anterior cranial fossa, n=2; cerebellar tentorium, n=1) were retrospectively reviewed. The DAVFs were treated with coils or a combination with Onyx via different transvenous approaches, in 28 procedures. Cerebral angiography was performed to confirm the treatment. The mean clinical follow-up period was 22.1 months. Transvenous treatment of intracranial DAVFs can be safe and effective if various transvenous approaches are attempted. Percutaneous transvenous embolization with detachable platinum coils or a combination with Onyx is effective in the treatment of DAVFs.
本研究评估了接受经皮经静脉栓塞术的硬脑膜动静脉瘘（DAVF）患者的血管造影和临床结果。对过去五年中接受经皮经静脉栓塞术治疗的23例（年龄11 - 70岁）DAVF患者进行了回顾性病历分析和影像学研究。病变位于前颅窝、小脑幕、横窦 - 乙状窦和海绵窦。对所有手术的表现、操作过程、血管造影和临床结果进行了分析。回顾性分析了23例DAVF患者（年龄范围11 - 70岁，平均年龄49.5岁）的数据，其中海绵窦（CS）病变17例、横窦 - 乙状窦病变3例、前颅窝病变2例、小脑幕病变1例。通过不同的经静脉途径，采用弹簧圈或联合使用Onyx对28例DAVF进行了治疗。术前行脑血管造影以确认治疗效果。平均临床随访期为22.1个月。如果尝试多种经静脉途径，经静脉治疗颅内DAVF可以是安全有效的。使用可脱性铂弹簧圈或联合Onyx进行经皮经静脉栓塞术对DAVF的治疗是有效的。
