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经皮栓塞颈外动脉动静脉瘘

Percutaneous embolization of arteriovenous fistulas of the external carotid artery.

作者信息

Berenstein A, Scott J, Choi I S, Persky M

出版信息

AJNR Am J Neuroradiol. 1986 Sep-Oct;7(5):937-42.

PMID:3096119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8331971/
Abstract

Nineteen arteriovenous fistulas of the external carotid branches in 17 patients were treated by a variety of percutaneous transvascular techniques. There were nine females and eight males; 11 fistulas were traumatic in origin, five were "spontaneous," and three were thought to be congenital. The most frequent presenting symptoms were a bruit and thrill, followed by pulsatile tinnitus, pulsatile mass, headaches, and ocular problems. The symptoms were related to fistula site and venous drainage. The middle meningeal artery was involved most often, followed by the superficial temporal, occipital, internal maxillary, and ascending pharyngeal arteries. All patients except one were successfully cured, including one recurrence. There were no complications, and the hospital stay averaged 3 days.

摘要

17例患者的19处颈外动脉分支动静脉瘘采用了多种经皮血管技术进行治疗。其中女性9例,男性8例;11处瘘为外伤性,5处为“自发性”,3处被认为是先天性。最常见的症状是杂音和震颤,其次是搏动性耳鸣、搏动性肿块、头痛和眼部问题。症状与瘘的部位和静脉引流有关。脑膜中动脉受累最为常见,其次是颞浅动脉、枕动脉、上颌内动脉和咽升动脉。除1例患者外,所有患者均成功治愈,其中1例复发。无并发症发生,住院时间平均为3天。

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