Department of Radiology, University of Washington, Seattle, Washington, USA.
Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
J Neurointerv Surg. 2020 Nov;12(11):e8. doi: 10.1136/neurintsurg-2017-013052.rep. Epub 2020 Aug 21.
We report successful transvenous treatment of direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV using a novel triple-overlay embolization (TAILOREd) technique without the need for arterial puncture, which is known to be highly risky in this patient group. The TAILOREd technique allowed for successful treatment using preoperative MR angiography as a three-dimensional overlay roadmap combined with cone beam CT and live fluoroscopy, precluding the need for an arterial puncture.
我们报告了一例成功的经静脉治疗埃勒斯-当洛斯综合征四型患者的直接颈动脉海绵窦瘘的病例,该患者采用了一种新的三重覆盖栓塞(TAILOREd)技术,无需进行动脉穿刺,而在该患者群体中,动脉穿刺的风险很高。TAILOREd 技术允许在术前磁共振血管造影作为三维覆盖的基础上,结合锥形束 CT 和实时透视,成功地进行治疗,而无需进行动脉穿刺。