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在鼻出血的血管内治疗中,氰基丙烯酸正丁酯被证明有助于避免眼动脉的非靶性栓塞。一份神经介入报告及文献综述。

N-butyl cyanoacrylate proved beneficial to avoid a nontarget embolization of the ophthalmic artery in endovascular management of epistaxis. A neurointerventional report and literature review.

作者信息

Shuster A, Gunnarsson T, Klurfan P, Larrazabal R

机构信息

Departments of Diagnostic Imaging, Division of Neurosurgery, Hamilton General Hospital, Hamilton Health Science, McMaster University, Hamilton, ON, Canada.

出版信息

Interv Neuroradiol. 2011 Mar;17(1):17-21. doi: 10.1177/159101991101700104. Epub 2011 Apr 18.

Abstract

Epistaxis is a common disorder affecting equally both genders. Posterior origin of epistaxis in some instances requires endovascular treatment. Anastomoses between external carotid artery and internal carotid or ophthalmic arteries heighten the risk of stroke or blindness, if particles of polyvinyl alcohol are used for embolization. We report a case of 90-year-old man for whom successful embolization with N-Butyl Cyanoacrylate glue was performed as an alternative treatment for recurrent epistaxis.

摘要

鼻出血是一种常见疾病,男女发病率相同。在某些情况下,鼻出血的后鼻孔起源需要进行血管内治疗。如果使用聚乙烯醇颗粒进行栓塞,颈外动脉与颈内动脉或眼动脉之间的吻合会增加中风或失明的风险。我们报告一例90岁男性患者,使用氰基丙烯酸正丁酯胶水成功进行栓塞,作为复发性鼻出血的替代治疗方法。

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本文引用的文献

1
Endovascular treatment of epistaxis.鼻出血的血管内治疗。
AJNR Am J Neuroradiol. 2009 Oct;30(9):1637-45. doi: 10.3174/ajnr.A1607. Epub 2009 Apr 16.
4
Embolization for intractable epistaxis.
Tech Vasc Interv Radiol. 2005 Sep;8(3):134-8. doi: 10.1053/j.tvir.2005.10.006.
5
Arterial embolization in the management of posterior epistaxis.动脉栓塞术在治疗鼻后段鼻出血中的应用
Otolaryngol Head Neck Surg. 2005 Nov;133(5):748-53. doi: 10.1016/j.otohns.2005.07.041.
6
Endovascular treatment of epistaxis.鼻出血的血管内治疗
ANZ J Surg. 2004 Sep;74(9):751-3. doi: 10.1111/j.1445-1433.2004.03145.x.
8
Angiographic embolization for epistaxis: a review of 114 cases.鼻出血的血管造影栓塞术:114例病例回顾
Laryngoscope. 1998 Apr;108(4 Pt 1):615-9. doi: 10.1097/00005537-199804000-00028.

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