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在不可脱卸球囊辅助下经动脉治疗直接型颈内动脉海绵窦瘘

Transarterial treatment of direct carotid cavernous fistulas with the assistance of undetachable balloons.

作者信息

Xu Ning, Wang Yubo, Luo Qi, Wang Honglei

机构信息

Department of Neurosurgery, First Hospital of Jilin University, Changchun 130021, China.

出版信息

ISRN Neurol. 2013 May 16;2013:152076. doi: 10.1155/2013/152076. Print 2013.

DOI:10.1155/2013/152076
PMID:23738142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3659488/
Abstract

Directed carotid cavernous fistula means high blood flow shunts between the internal carotid artery and the cavernous sinus. Obstructing the abnormal shunt between the internal carotid artery and the cavernous sinus while preserving the internal carotid artery is the key role in fistula treatment. Transarterial balloon embolization is currently the gold standard treatment for most of the carotid cavernous fistulas. But there are still some technical difficulties in the use of detachable balloon to treat carotid cavernous fistulas. Here, we describe undetachable balloon-assisted technique in the embolization of three patients who got complete immediate occlusion of the shunt and preserved the internal carotid artery at the same time.

摘要

直接型颈内动脉海绵窦瘘是指颈内动脉与海绵窦之间存在高血流量分流。在保留颈内动脉的同时,阻塞颈内动脉与海绵窦之间的异常分流是瘘管治疗的关键。经动脉球囊栓塞术目前是大多数颈内动脉海绵窦瘘的金标准治疗方法。但是,使用可脱性球囊治疗颈内动脉海绵窦瘘仍存在一些技术难题。在此,我们描述了不可脱性球囊辅助技术,用于栓塞3例患者,这些患者的分流立即完全闭塞,同时保留了颈内动脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b4/3659488/f74ee238fafc/ISRN.NEUROLOGY2013-152076.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b4/3659488/f74ee238fafc/ISRN.NEUROLOGY2013-152076.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b4/3659488/f74ee238fafc/ISRN.NEUROLOGY2013-152076.001.jpg

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引用本文的文献

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本文引用的文献

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Interv Neuroradiol. 2008 Nov 11;14 Suppl 2(Suppl 2):13-7. doi: 10.1177/15910199080140S204. Epub 2009 Jan 2.
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A complex cavernous sinus dural arteriovenous fistula secondary to covered stent placement for a traumatic carotid artery-cavernous sinus fistula: case report.一例因创伤性颈动脉海绵窦瘘行覆膜支架置入术后继发的复杂海绵窦硬脑膜动静脉瘘:病例报告
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Carotid cavernous fistula: embolization via a bilateral superior ophthalmic vein approach.颈内动脉海绵窦瘘:经双侧眼上静脉入路栓塞术
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