治疗复杂的神经血管病变：一种联合血管套房治疗方法。
Treatment of complex neurovascular lesions: an interdisciplinary angio suite approach.
机构信息
Department of Neurosurgery, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany.
Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.
出版信息
Ther Adv Neurol Disord. 2014 Jan;7(1):60-70. doi: 10.1177/1756285613496861.
OBJECTIVE
The objective of this study was to analyse our initial experience using an interdisciplinary angio suite approach to neurosurgical treatment of complex neurovascular lesions and expound technical feasibility and possible applications.
SUBJECTS
Six out of 451 patients with cranial or spinal neurovascular lesions were surgically treated in the angio suite (biplane angiographic system) during a 28-month observation period. Clinical baseline data, radiological and intraoperative findings as well as clinical and radiological outcome were assessed.
RESULTS
A ventral spinal perimedullary arteriovenous malformation, a ventral spinal perimedullary fistula, two diffuse frontal dural arteriovenous fistulas, a multifocal temporal arteriovenous malformation and a partially embolized fronto-temporo-basal dural arteriovenous fistula were successfully treated with angiographically confirmed complete occlusion and unimpaired neurological condition of the patients at the 12-month follow up.
CONCLUSION
This study demonstrates the feasibility of this approach and points out possible indications, namely ventrally located spinal lesions and diffuse, deep seated cranial lesions.
目的
本研究旨在分析我们使用血管内治疗复杂神经血管病变的多学科血管套房方法的初步经验，并阐述其技术可行性和可能的应用。
对象
在 28 个月的观察期内，451 例颅神经血管病变患者中有 6 例在血管套房（双平面血管造影系统）中接受了手术治疗。评估了临床基线数据、影像学和术中发现以及临床和影像学结果。
结果
成功治疗了 1 例脊髓腹侧髓周动静脉畸形、1 例脊髓腹侧髓周瘘、2 例弥漫性额部硬脑膜动静脉瘘、1 例多灶性颞叶动静脉畸形和 1 例部分栓塞的额颞底硬脑膜动静脉瘘，患者在 12 个月的随访时神经功能完全正常，影像学检查证实病变完全闭塞。
结论
本研究证明了这种方法的可行性，并指出了可能的适应证，即位于脊髓腹侧的病变和弥漫性、深部颅神经病变。
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