使用玛瑙进行经动脉球囊辅助栓塞外伤性颈动脉海绵窦瘘：23 例报告。
Use of onyx for transarterial balloon-assisted embolization of traumatic carotid cavernous fistulas: a report of 23 cases.
机构信息
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
出版信息
AJNR Am J Neuroradiol. 2012 Aug;33(7):1305-9. doi: 10.3174/ajnr.A2977. Epub 2012 Apr 5.
Abstract
BACKGROUND AND PURPOSE
TCCFs are a common complication following craniofacial trauma and are usually treated by coils or detachable balloons. The use of the liquid embolic agent Onyx as the sole agent for the treatment of TCCFs has been rarely reported. Herein, we summarized the preliminary experience and effectiveness of treating TCCFs with Onyx in 23 patients.
MATERIALS AND METHODS
From the 36 type A CCFs treated in our department between September 2005 and March 2011, a total of 23 posttraumatic direct CCFs were treated by using Onyx only via transarterial approach.
RESULTS
Immediate postprocedural angiograms demonstrated complete occlusion in all patients. All the patients underwent a single procedure except 1 with bilateral TCCFs. Up to 24-month clinical and 3-month angiographic follow-ups revealed an ongoing complete occlusion without any complications.
CONCLUSIONS
In this series, the use of Onyx for the transarterial embolization of TCCFs was feasible and effective. Associated adverse events were rare.
摘要
背景与目的
创伤性颅面交通性瘘（TCCFs）是颅面创伤的常见并发症，通常采用线圈或可分离球囊进行治疗。Onyx 这种液体栓塞剂作为唯一的治疗 TCCFs 的药物，其应用很少有报道。在此，我们总结了使用 Onyx 治疗 23 例 TCCFs 的初步经验和效果。
材料与方法
2005 年 9 月至 2011 年 3 月，我们科室共治疗了 36 例 A 型 CCFs，其中共 23 例创伤性直接 CCFs 采用经动脉途径单纯使用 Onyx 进行治疗。
结果
所有患者即刻行血管造影均显示完全闭塞。除 1 例双侧 TCCFs 患者外，所有患者均行单次治疗。24 个月的临床随访和 3 个月的血管造影随访显示，完全闭塞持续存在，无任何并发症。
结论
在本系列中，经动脉栓塞治疗 TCCFs 使用 Onyx 是可行且有效的。相关不良事件罕见。
相似文献
1
Use of onyx for transarterial balloon-assisted embolization of traumatic carotid cavernous fistulas: a report of 23 cases.使用玛瑙进行经动脉球囊辅助栓塞外伤性颈动脉海绵窦瘘：23 例报告。
AJNR Am J Neuroradiol. 2012 Aug;33(7):1305-9. doi: 10.3174/ajnr.A2977. Epub 2012 Apr 5.
2
Embolization of direct carotid cavernous fistula with Onyx and coils under transarterial balloon protection.经动脉球囊保护下使用Onyx和弹簧圈栓塞颈内动脉海绵窦瘘
Cardiovasc Intervent Radiol. 2014 Jun;37(3):679-85. doi: 10.1007/s00270-013-0732-x. Epub 2013 Sep 18.
3
Transvenous treatment of spontaneous dural carotid-cavernous fistulas using a combination of detachable coils and Onyx.使用可脱卸线圈和Onyx联合进行经静脉治疗自发性硬脑膜动静脉瘘
AJNR Am J Neuroradiol. 2006 Jun-Jul;27(6):1346-9.
4
Transarterial treatment of direct carotico-cavernous fistulas with coils and Onyx.经导管血管内治疗直接颈动脉海绵窦瘘的线圈和 Onyx 栓塞。
Neuroradiology. 2013 Oct;55(10):1213-20. doi: 10.1007/s00234-013-1224-z. Epub 2013 Jul 5.
5
Endovascular treatment of posttraumatic carotid-cavernous fistulas and pseudoaneurysms with covered stents.采用覆膜支架对创伤后颈内动脉海绵窦瘘和假性动脉瘤进行血管内治疗。
J Neuroimaging. 2014 May-Jun;24(3):287-91. doi: 10.1111/jon.12023. Epub 2013 Apr 26.
6
Transvenous embolization with a combination of detachable coils and Onyx for a complicated cavernous dural arteriovenous fistula.采用可脱卸弹簧圈与Onyx联合经静脉栓塞治疗复杂海绵窦硬脑膜动静脉瘘。
Chin Med J (Engl). 2008 Sep 5;121(17):1651-5.
7
Management of direct carotid-cavernous sinus fistulas with the use of ethylene-vinyl alcohol (Onyx) only: preliminary results.仅使用乙烯-乙烯醇（Onyx）治疗直接颈动脉-海绵窦瘘：初步结果。
J Neurosurg. 2010 Mar;112(3):595-602. doi: 10.3171/2009.6.JNS09440.
8
Direct traumatic carotid cavernous fistula: angiographic classification and treatment strategies. Study of 172 cases.直接创伤性颈内动脉海绵窦瘘：血管造影分类及治疗策略。172例病例研究。
Interv Neuroradiol. 2014 Jul-Aug;20(4):461-75. doi: 10.15274/INR-2014-10020. Epub 2014 Aug 28.
9
The superior ophthalmic vein approach for the treatment of carotid-cavernous fistulas: a novel technique using Onyx.经眼上静脉入路治疗颈动脉海绵窦瘘：使用 Onyx 的新方法。
Neurosurg Focus. 2012 May;32(5):E13. doi: 10.3171/2012.1.FOCUS123.
10
Onyx embolization of carotid-cavernous fistulas.颈内动脉海绵窦瘘的 Onyx 栓塞治疗。
J Neurosurg. 2010 Mar;112(3):589-94. doi: 10.3171/2009.6.JNS09132.
引用本文的文献
1
The endovascular treatment strategies of cerebrovascular injuries in traumatic brain injury.创伤性脑损伤中脑血管损伤的血管内治疗策略
Chin J Traumatol. 2025 Mar;28(2):81-90. doi: 10.1016/j.cjtee.2025.01.001. Epub 2025 Jan 22.
2
Indications for alternative endovascular techniques in carotid-cavernous fistulas: A 20-year single-center experience.颈动脉海绵窦瘘替代血管内技术的适应证：一项20年单中心经验
Interv Neuroradiol. 2024 Jan 3:15910199231217549. doi: 10.1177/15910199231217549.
3
Clinical efficacy of endovascular treatment approach in patients with carotid cavernous fistula: A systematic review and meta-analysis.血管内治疗方法对海绵窦瘘患者的临床疗效：一项系统评价和荟萃分析。
World Neurosurg X. 2023 Mar 29;19:100189. doi: 10.1016/j.wnsx.2023.100189. eCollection 2023 Jul.
4
Superior ophthalmic vein and ophthalmic artery in immediate evaluation after endovascular treatment of carotid-cavernous fistulas.颈动脉海绵窦瘘血管内治疗后立即评估中的眼上静脉和眼动脉
Pol J Radiol. 2019 Jan 14;84:e32-e40. doi: 10.5114/pjr.2019.82807. eCollection 2019.
5
Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis.伴有双侧眼球突出、酷似海绵窦血栓形成的创伤后颈内动脉海绵窦瘘
BMJ Case Rep. 2019 Mar 31;12(3):e227757. doi: 10.1136/bcr-2018-227757.
6
Bilateral carotid cavernous sinus fistula: a case report and review of the literature.双侧颈动脉海绵窦瘘：病例报告及文献复习。
J Neurol. 2018 Mar;265(3):453-459. doi: 10.1007/s00415-017-8657-y. Epub 2017 Nov 2.
7
Endovascular treatment in an unusual case of direct carotid cavernous fistula.一例罕见的直接型颈内动脉海绵窦瘘的血管内治疗
Neuroradiol J. 2014 Apr;27(2):207-12. doi: 10.15274/NRJ-2014-10032. Epub 2014 Apr 18.
8
Transarterial treatment of direct carotico-cavernous fistulas with coils and Onyx.经导管血管内治疗直接颈动脉海绵窦瘘的线圈和 Onyx 栓塞。
Neuroradiology. 2013 Oct;55(10):1213-20. doi: 10.1007/s00234-013-1224-z. Epub 2013 Jul 5.
本文引用的文献
1
An analysis of inflation times during balloon-assisted aneurysm coil embolization and ischemic complications.球囊辅助弹簧圈栓塞术期间的通胀时间分析及缺血性并发症。
Stroke. 2011 Apr;42(4):1051-5. doi: 10.1161/STROKEAHA.110.602276. Epub 2011 Feb 10.
2
Carotid cavernous fistulas treated by endovascular covered stent grafts with follow-up results.采用血管腔内带膜支架移植物治疗颈内动脉海绵窦瘘及其随访结果。
Br J Neurosurg. 2010 Aug;24(4):435-40. doi: 10.3109/02688697.2010.487127.
3
The incidence of trigeminocardiac reflex in endovascular treatment of dural arteriovenous fistula with onyx.使用奥尼克斯胶进行硬脑膜动静脉瘘血管内治疗时三叉神经心脏反射的发生率
Interv Neuroradiol. 2010 Mar;16(1):59-63. doi: 10.1177/159101991001600107. Epub 2010 Mar 25.
4
Embolization of cranial dural arteriovenous fistulae with ONYX: Indications, techniques, and outcomes.使用Onyx栓塞颅部硬脑膜动静脉瘘：适应证、技术及结果
Indian J Radiol Imaging. 2010 Feb;20(1):26-33. doi: 10.4103/0971-3026.59748.
5
Management of direct carotid-cavernous sinus fistulas with the use of ethylene-vinyl alcohol (Onyx) only: preliminary results.仅使用乙烯-乙烯醇（Onyx）治疗直接颈动脉-海绵窦瘘：初步结果。
J Neurosurg. 2010 Mar;112(3):595-602. doi: 10.3171/2009.6.JNS09440.
6
Onyx embolization of carotid-cavernous fistulas.颈内动脉海绵窦瘘的 Onyx 栓塞治疗。
J Neurosurg. 2010 Mar;112(3):589-94. doi: 10.3171/2009.6.JNS09132.
7
Endovascular techniques for treatment of carotid-cavernous fistula.治疗颈内动脉海绵窦瘘的血管内技术。
J Neuroophthalmol. 2009 Mar;29(1):62-71. doi: 10.1097/WNO.0b013e3181989fc0.
8
Successful transarterial embolization of a Barrow type D dural carotid-cavernous fistula with ethylene vinyl alcohol copolymer (Onyx).使用乙烯-乙烯醇共聚物（奥尼克斯）成功经动脉栓塞巴罗D型硬脑膜动静脉瘘
J Neuroophthalmol. 2009 Mar;29(1):9-12. doi: 10.1097/WNO.0b013e318199ce83.
9
Endovascular treatment of brain arteriovenous malformations using onyx: results of a prospective, multicenter study.使用Onyx进行脑动静脉畸形的血管内治疗：一项前瞻性多中心研究的结果
J Neuroradiol. 2009 Jun;36(3):147-52. doi: 10.1016/j.neurad.2008.11.005. Epub 2009 Feb 14.
10
HydroCoil occlusion for treatment of traumatic carotid-cavernous fistula: preliminary experience.HydroCoil栓塞术治疗创伤性颈动脉海绵窦瘘：初步经验
Eur J Radiol. 2009 Sep;71(3):456-60. doi: 10.1016/j.ejrad.2008.06.009. Epub 2008 Jul 16.
Zotero 插件