Department of Interventional Neuroradiology, Fondation Rothschild Hospital, 25 rue Manin, Paris, France.
Neuroradiology. 2012 Aug;54(8):845-8. doi: 10.1007/s00234-011-0978-4. Epub 2011 Nov 18.
Intra-arterial infusion of chemotherapy into the ophthalmic artery for treatment of retinoblastoma has been realized after catheterization of the internal carotid and temporary balloon occlusion beyond the orifice of the ophthalmic artery, or more recently after superselective canulation of the ophthalmic artery by a microcatheter. The superselective catheterization of the ophthalmic artery could be cumbersome because of the implantation of the ostium on the carotid siphon or because of the tortuosity of the carotid siphon. We report our experience of using a retrograde approach through the posterior communicating artery that allows a more direct angle of access to the origin of the ophthalmic artery.
经颈内动脉穿刺并在眼动脉开口远端暂时球囊阻断，或采用微导管超选择性插管技术，实现了眼动脉内化疗药物灌注治疗视网膜母细胞瘤。由于眼动脉开口位于颈内动脉虹吸段，或由于颈内动脉虹吸段迂曲，超选择性插管技术操作复杂。我们报告采用经后交通动脉逆行插管技术的经验，该技术可提供更直接的入路角度到达眼动脉起始部。
