硬脑膜动静脉瘘的选择性经静脉线圈栓塞术。三例报告。
Selective transvenous coil embolization of dural arteriovenous fistula. A report of three cases.
作者信息
Yoshioka T, Kitagawa N, Yokoyama H, Nagata I
机构信息
Department of Neuroendovascular Surgery, Nagasaki Rosai Hospital; Japan -
出版信息
Interv Neuroradiol. 2007 Mar 15;13 Suppl 1(Suppl 1):123-30. doi: 10.1177/15910199070130S118. Epub 2007 Jun 27.
We herein report three cases of dural arteriovenous fistula (DAVF) in which the venous outlet immediately adjacent to the fistula was selectively embolized. Case 1: A 69-year-old man presented with a subarachnoid hemorrhage (SAH). Angiography demonstrated a DAVF in the left superior petrous sinus. Case 2: A 59-yearold woman presented with dizziness. Angiography demonstrated a DAVF adjacent to great vein of Galen. The DAVF drained through the great vein of Galen with retrograde leptomeningeal venous drainage (RLVD). The basal vein of Rosenthal was enhanced from the great vein of Galen. Case 3: A 51-year-old man presented with an occipital seizure. Angiography demonstrated a DAVF adjacent to the left side of the superior sagittal sinus with RLVD. All three cases were successfully treated by the selective embolization of the venous outlet immediately adjacent to the fistula. Therefore, selective embolization preserved normal venous return.
我们在此报告三例硬脑膜动静脉瘘（DAVF），其中紧邻瘘口的静脉引流口被选择性栓塞。病例1：一名69岁男性，表现为蛛网膜下腔出血（SAH）。血管造影显示左侧岩上窦存在DAVF。病例2：一名59岁女性，表现为头晕。血管造影显示紧邻大脑大静脉存在DAVF。该DAVF经大脑大静脉引流，伴有逆行性软脑膜静脉引流（RLVD）。大脑大静脉使Rosenthal基底静脉强化。病例3：一名51岁男性，表现为枕叶癫痫发作。血管造影显示紧邻上矢状窦左侧存在DAVF，伴有RLVD。所有三例均通过紧邻瘘口的静脉引流口的选择性栓塞成功治疗。因此，选择性栓塞保留了正常的静脉回流。
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