前颅窝硬脑膜动静脉瘘：经眼动脉进行经动脉栓塞作为一线治疗方法。
Anterior cranial fossa dural arteriovenous fistula: Transarterial embolization from the ophthalmic artery as first-line treatment.
作者信息
Piergallini Lorenzo, Tardieu Maxime, Cagnazzo Federico, Gascou Grégory, Dargazanli Cyril, Derraz Imad, Costalat Vincent, Bonafé Alain, Lefevre Pierre-Henri
机构信息
Department of Interventional and Diagnostic Neuroradiology, Montpellier University Hospital, Montpellier, France; Postgraduation School of Radiodiagnostics, Università degli Studi di Milano, Milan, Italy.
Department of Radiology, Perpignan Hospital, Perpignan, France.
出版信息
J Neuroradiol. 2021 May;48(3):207-214. doi: 10.1016/j.neurad.2019.05.009. Epub 2019 Jun 20.
OBJECTIVE
To retrospectively review the outcome of patients with dural arteriovenous fistula of the anterior cranial fossa (afDAVF) treated by transarterial embolization.
MATERIAL AND METHODS
Six consecutive patients were referred to our hospital for afDAVF treatment. After a multidisciplinary discussion, they underwent endovascular embolization with Onyx injection through the ophthalmic artery. Their clinical presentation, management and outcomes were retrospectively assessed.
RESULTS
All interventions were performed with the liquid embolic agent Onyx through the transarterial route from the ophthalmic artery to access the fistulous point. All patients showed a good outcome with complete afDAVF obliteration.
CONCLUSION
This study demonstrates that afDAVFs can be safely and completely obliterated by transarterial embolization via the ophthalmic artery.
目的
回顾性分析经动脉栓塞治疗前颅窝硬脑膜动静脉瘘（afDAVF）患者的治疗结果。
材料与方法
连续6例患者因afDAVF来我院治疗。经过多学科讨论后，他们通过眼动脉进行了Onyx注射的血管内栓塞治疗。对他们的临床表现、治疗及结果进行回顾性评估。
结果
所有干预均通过经动脉途径，从眼动脉注入液体栓塞剂Onyx以到达瘘口。所有患者均取得良好效果，afDAVF完全闭塞。
结论
本研究表明，经眼动脉进行动脉栓塞可安全、完全地闭塞afDAVF。
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