经动脉栓塞治疗头皮动静脉瘘时临时球囊闭塞的作用。
The usefulness of temporary balloon occlusion during transarterial embolization for scalp arteriovenous fistula.
作者信息
Kawano Dai, Fukuda Kenji, Fukumoto Hironori, Horio Yoshinobu, Takahara Masaki, Abe Hiroshi, Higashi Toshio, Inoue Tooru
机构信息
Department of Neurosurgery, School of Medicine, Fukuoka University Hospital, Fukuoka, Japan.
Department of Neurosurgery, Fukuoka Chikushi Hospital, Fukuoka, Japan.
出版信息
Surg Neurol Int. 2021 Mar 8;12:89. doi: 10.25259/SNI_565_2020. eCollection 2021.
BACKGROUND
We present two cases of scalp arteriovenous fistula (sAVF) treated by transarterial embolization with the aid of a temporary balloon occlusion (TBO) to detect precise vasculature.
CASE DESCRIPTION
Case 1: A 59-year-old woman noticed a sudden onset of pulsating bruits. sAVF was fed by the right superficial temporal artery (STA) and drained to the right superficial temporal vein. We performed feeder occlusion using coils after the recognition of a single feeder and a single fistula using TBO. Case 2: A 42-year-old woman noticed a pulsating subcutaneous mass. sAVF was fed by the right occipital artery (OA) and drained to the right occipital vein (OV). We could detect another feeder of the right STA after the TBO of the OA. We performed transarterial feeder occlusion for STA and OA using coil and N-butyl-2-cyanoacrylat including OV and shunt point, because this case was a single fistula with multiple feeders.
CONCLUSION
sAVFs are a relatively rare disease with a complex vascular structure. For the adequate transarterial approach, TBO was useful for detecting the precise vasculature of sAVF.
背景
我们介绍两例头皮动静脉瘘（sAVF），通过经动脉栓塞并借助临时球囊闭塞（TBO）来检测精确的血管系统进行治疗。
病例描述
病例1：一名59岁女性突然出现搏动性杂音。sAVF由右侧颞浅动脉（STA）供血，引流至右侧颞浅静脉。在使用TBO识别出单一供血动脉和单一瘘口后，我们使用弹簧圈进行供血动脉闭塞。病例2：一名42岁女性发现皮下有搏动性肿块。sAVF由右侧枕动脉（OA）供血，引流至右侧枕静脉（OV）。在对OA进行TBO后，我们发现右侧STA还有另一个供血动脉。由于该病例为单一瘘口伴多个供血动脉，我们使用弹簧圈和N-丁基-2-氰基丙烯酸酯对STA和OA进行经动脉供血动脉闭塞，包括OV和分流点。
结论
sAVF是一种血管结构复杂的相对罕见疾病。对于合适的经动脉治疗方法，TBO有助于检测sAVF的精确血管系统。
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