经动脉 Onyx 栓塞治疗术后残余动静脉畸形。
Transarterial Onyx Embolization of Residual Arteriovenous Malformation After Surgical Resection.
机构信息
Radiation Center, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Neurology Department, Liaocheng People's Hospital, Liaocheng, Shandong, China.
出版信息
World Neurosurg. 2019 Jun;126:e1242-e1245. doi: 10.1016/j.wneu.2019.03.073. Epub 2019 Mar 13.
OBJECTIVE
We sought to report transarterial Onyx embolization of residual brain arteriovenous malformation (AVM) after surgical resection.
METHODS
From January 2017 to January 2019, 7 patients with residual AVM after surgery were treated by transarterial Onyx embolization. Demographics, angioarchitectural characteristics, complications, and results were retrospectively reviewed.
RESULTS
All patients presented initially with a ruptured AVM. Residual AVM was found on control angiograms within 1 month after surgery. All residual AVMs were cured by transarterial Onyx embolization. One patients experienced feeding artery perforation without adding new neurologic deficits.
CONCLUSIONS
Complete obliteration of residual AVMs can be obtained by salvage transarterial Onyx embolization.
目的
报告手术切除后脑动静脉畸形（AVM）后经动脉途径使用 Onyx 胶栓塞治疗的效果。
方法
2017 年 1 月至 2019 年 1 月，采用经动脉途径 Onyx 胶栓塞治疗术后残留 AVM 的 7 例患者。回顾性分析患者的一般资料、血管构筑特征、并发症及疗效。
结果
所有患者初始表现为破裂的 AVM。术后 1 个月内的复查造影发现残留 AVM。所有残留 AVM 均经动脉途径 Onyx 胶栓塞治疗治愈。1 例患者出现载瘤动脉分支穿孔，未出现新的神经功能缺损。
结论
经动脉途径 Onyx 胶栓塞治疗可以使残留 AVM 完全闭塞。
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