一种用于脑动静脉畸形血管内治疗的新型微导管系统。

A new microcatheter system for endovascular treatment of cerebral arteriovenous malformations.

作者信息

Komiyama M, Yasui T, Fu Y, Yagura H, Baba M, Hakuba A, Nishimura S

机构信息

Department of Neurosurgery, Baba Memorial Hospital, Osaka, Japan.

出版信息

Surg Neurol. 1989 Aug;32(2):91-7. doi: 10.1016/0090-3019(89)90194-8.

DOI:10.1016/0090-3019(89)90194-8

PMID:2749461

Abstract

A new microcatheter system was used for diagnostic and therapeutic purposes in three cases of arteriovenous malformation. This microcatheter is used with a steerable guidewire and provides high selectivity of the target vessels and greater catheter maneuverability than does balloon catheters. Tissue adhesive was safely injected for the therapeutic embolization in two of the cases. With this system, however, the utmost attention is necessary to prevent reflux of the tissue adhesive and to avoid lacerating the feeding vessels with the guidewire. This microcatheter system was found to be very useful for diagnostic and therapeutic procedures in endovascular treatment of cerebral arteriovenous malformations.

摘要

一种新型微导管系统被用于3例动静脉畸形的诊断和治疗。这种微导管与可操纵导丝配合使用，与球囊导管相比，能提供更高的靶血管选择性和更强的导管可操作性。在其中2例病例中安全注射了组织粘合剂进行治疗性栓塞。然而，使用该系统时，必须格外小心以防止组织粘合剂反流，并避免导丝划破供血血管。发现这种微导管系统在脑动静脉畸形的血管内治疗的诊断和治疗程序中非常有用。