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通过单次针位直接经皮栓塞,仅使用乙烯-乙烯醇共聚物(Onyx)即可实现青少年血管纤维瘤的完全去血管化。

Complete devascularization of a juvenile angiofibroma by direct percutaneous embolization with only ethylene vinyl alcohol copolymer (Onyx) through a single needle placement.

机构信息

Department of Interventional Neuroradiology, University of Michigan Hospitals, Ann Arbor, MI, USA.

出版信息

J Neurointerv Surg. 2011 Jun;3(2):191-3. doi: 10.1136/jnis.2010.003269. Epub 2010 Oct 29.

Abstract

Embolization of a juvenile angiofibroma (JNA) is commonly performed prior to surgical resection. Traditionally, it has been performed from an intra-arterial approach with particulate material. A novel technique is described in which a JNA was completely devascularized prior to surgical removal by direct percutaneous embolization with only ethylene vinyl alcohol. A midfacial degloving and medial maxillectomy/maxillotomy was then performed and the tumor extirpated with blunt finger dissection and the assistance of an endoscope, with 200 ml of blood loss.

摘要

青少年血管纤维瘤(JNA)通常在手术切除前进行栓塞。传统上,它是通过动脉内途径用颗粒物质进行的。本文描述了一种新的技术,通过直接经皮栓塞用乙烯-乙烯醇完全使 JNA 血管化,然后在手术切除前进行。然后进行中面部皮瓣剥离和内侧上颌骨切除术/上颌切开术,并用钝手指解剖和内窥镜协助切除肿瘤,失血 200ml。

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