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颅内静脉窦支架置入术的应用现状

Current Status of the Application of Intracranial Venous Sinus Stenting.

作者信息

Xu Kan, Yu Tiecheng, Yuan Yongjie, Yu Jinlu

机构信息

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

2. Department of Orthopedics, First Hospital of Jilin University, Changchun, 130021, P.R. China.

出版信息

Int J Med Sci. 2015 Sep 19;12(10):780-9. doi: 10.7150/ijms.12604. eCollection 2015.

Abstract

The intracranial venous sinus is an important component of vascular disease. Many diseases involve the venous sinus and are accompanied by venous sinus stenosis (VSS), which leads to increased venous pressure and high intracranial pressure. Recent research has focused on stenting as a treatment for VSS related to these diseases. However, a systematic understanding of venous sinus stenting (VS-Stenting) is lacking. Herein, the literature on idiopathic intracranial hypertension (IIH), venous pulsatile tinnitus, sinus thrombosis, high draining venous pressure in dural arteriovenous fistula (AVF) and arteriovenous malformation (AVM), and tumor-caused VSS was reviewed and analyzed to summarize experiences with VS-Stenting as a treatment. The literature review showed that satisfactory therapeutic effects can be achieved through stent angioplasty. Thus, the present study suggests that selective stent release in the venous sinus can effectively treat these diseases and provide new possibilities for treating intracranial vascular disease.

摘要

颅内静脉窦是血管疾病的重要组成部分。许多疾病累及静脉窦并伴有静脉窦狭窄(VSS),这会导致静脉压升高和颅内压升高。最近的研究集中在将支架置入作为治疗与这些疾病相关的VSS的方法。然而,目前缺乏对静脉窦支架置入术(VS-Stenting)的系统认识。在此,我们回顾并分析了关于特发性颅内高压(IIH)、静脉搏动性耳鸣、窦血栓形成、硬脑膜动静脉瘘(AVF)和动静脉畸形(AVM)中的高引流静脉压以及肿瘤引起的VSS的文献,以总结VS-Stenting作为一种治疗方法的经验。文献综述表明,通过支架血管成形术可以取得满意的治疗效果。因此,本研究表明在静脉窦中选择性释放支架可以有效治疗这些疾病,并为治疗颅内血管疾病提供新的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e56/4615238/48581e53757c/ijmsv12p0780g001.jpg

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