经动脉 Onyx 栓塞术治疗横窦-乙状窦硬脑膜动静脉瘘。
Transarterial Onyx packing of the transverse-sigmoid sinus for dural arteriovenous fistulas.
机构信息
Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No. 6, Tiantan Xili, Chongwen, Beijing 100050, China.
出版信息
Eur J Radiol. 2011 Dec;80(3):767-70. doi: 10.1016/j.ejrad.2010.09.045. Epub 2010 Oct 27.
OBJECTIVE
To report transarterial Onyx packing of the transverse-sigmoid sinus for dural arteriovenous fistulae (DAVFs).
METHODS
We retrospectively studied consecutive 5 patients (2 female and 3 male) treated for a transverse-sigmoid sinus DAVF since 2008 in whom transverse sinus packing was attempted with a transarterial approach Onyx embolization. The mean clinical follow-up period was 6.2 months.
RESULTS
Of the five lesions, 2 fistulas were type IIa, 3 were type IIb, according to the Cognard classification. Five Onyx embolizations were all performed via the middle meningeal artery. Cure was obtained in all cases after completion of direct sinus packing. No complications were revealed.
CONCLUSIONS
Transarterial Onyx packing of transverse-sigmoid sinus for DAVFs via the meningeal arterial system is a safe therapeutic alternative in selected cases.
目的
报告经动脉使用 Onyx 胶栓塞横窦-乙状窦治疗硬脑膜动静脉瘘（DAVF）。
方法
我们回顾性研究了 2008 年以来连续 5 例（2 名女性，3 名男性）接受横窦-乙状窦 DAVF 治疗的患者，这些患者均采用经动脉入路 Onyx 栓塞进行横窦填充。平均临床随访时间为 6.2 个月。
结果
根据 Cognard 分类，5 个病变中 2 个为 IIa 型，3 个为 IIb 型。5 例均通过脑膜中动脉进行 Onyx 栓塞。直接窦内填充完成后，所有病例均获得治愈。未出现并发症。
结论
经脑膜动脉系统经动脉使用 Onyx 胶栓塞横窦-乙状窦治疗 DAVF 是一种安全的治疗选择，尤其适用于某些特定病例。
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