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球囊后支撑技术:在经静脉线圈栓塞治疗乙状窦硬脑膜动静脉瘘时保留生理静脉引流。

Balloon-backstop technique: Preserving physiologic venous drainage during transvenous coil embolization of sigmoid sinus dural arteriovenous fistulas.

机构信息

Department of Radiology and Biomedical Imaging, University of California San Francisco, USA.

出版信息

Neuroradiol J. 2022 Jun;35(3):412-417. doi: 10.1177/19714009211042898. Epub 2021 Sep 7.

DOI:10.1177/19714009211042898
PMID:34490800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9244750/
Abstract

Dural arteriovenous fistulas can lead to catastrophic intracranial hemorrhage if left untreated. Transvenous embolization can cure arteriovenous fistulas, but preserving normal venous structures can be challenging. Inadvertent embolization of a functioning vein can result in catastrophic venous infarction or hemorrhage. Here, we report a case using balloon-assistance to facilitate preservation of the superior petrosal sinus during transvenous embolization of a sigmoid sinus dural arteriovenous fistula.

摘要

硬脑膜动静脉瘘如果不治疗可能导致灾难性的颅内出血。经静脉栓塞可以治愈动静脉瘘,但保留正常的静脉结构可能具有挑战性。无意中栓塞一条有功能的静脉可能导致灾难性的静脉梗死或出血。在这里,我们报告了一例使用球囊辅助技术,在乙状窦硬脑膜动静脉瘘经静脉栓塞期间,有助于保护岩上窦。

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Neuroradiol J. 2022 Jun;35(3):412-417. doi: 10.1177/19714009211042898. Epub 2021 Sep 7.
2
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本文引用的文献

1
Transarterial Onyx embolization with targeted balloon-assisted sinus protection for treatment of dural arteriovenous fistula of the lateral tentorial sinus.经动脉使用奥尼克斯栓塞术并采用靶向球囊辅助窦保护治疗小脑幕外侧窦硬脑膜动静脉瘘。
Radiol Case Rep. 2020 Feb 7;15(4):405-410. doi: 10.1016/j.radcr.2020.01.018. eCollection 2020 Apr.
2
Toward a Better Understanding of Dural Arteriovenous Fistula Angioarchitecture: Superselective Transvenous Embolization of a Sigmoid Common Arterial Collector.为了更好地理解硬脑膜动静脉瘘的血管构筑:乙状窦共干的超选择性经静脉栓塞。
AJNR Am J Neuroradiol. 2018 Sep;39(9):1682-1688. doi: 10.3174/ajnr.A5740. Epub 2018 Aug 16.
3
Endovascular Treatment of Dural Arteriovenous Fistulas Using Transarterial Liquid Embolization in Combination with Transvenous Balloon-Assisted Protection of the Venous Sinus.经动脉液体栓塞联合经静脉球囊辅助静脉窦保护治疗硬脑膜动静脉瘘。
AJNR Am J Neuroradiol. 2018 Jul;39(7):1296-1302. doi: 10.3174/ajnr.A5651. Epub 2018 May 3.
4
Transarterial Onyx Embolization of Bilateral Transverse-Sigmoid Dural Arteriovenous Malformation with Transvenous Balloon Assist-Initial U.S. Experience with Copernic RC Venous Remodeling Balloon.经静脉球囊辅助的双侧横窦乙状窦硬脑膜动静脉畸形的经动脉氧化乙烯胶栓塞治疗- Copernic RC 静脉重塑球囊的美国初步经验。
World Neurosurg. 2018 Jan;109:398-402. doi: 10.1016/j.wneu.2017.10.083. Epub 2017 Oct 26.
5
Pial Artery Supply as an Anatomic Risk Factor for Ischemic Stroke in the Treatment of Intracranial Dural Arteriovenous Fistulas.脑硬膜动静脉瘘治疗中吻合动脉供血对缺血性脑卒中的解剖学风险因素
AJNR Am J Neuroradiol. 2017 Dec;38(12):2315-2320. doi: 10.3174/ajnr.A5396. Epub 2017 Sep 28.
6
Endovascular Treatment of Dural Arteriovenous Fistulas of the Transverse and Sigmoid Sinuses Using Transarterial Balloon-Assisted Embolization Combined with Transvenous Balloon Protection of the Venous Sinus.经动脉球囊辅助栓塞联合静脉窦内球囊保护治疗横窦和乙状窦硬脑膜动静脉瘘
AJNR Am J Neuroradiol. 2017 Oct;38(10):1984-1989. doi: 10.3174/ajnr.A5333. Epub 2017 Aug 17.
7
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Neuroradiology. 2013 Feb;55(3):345-50. doi: 10.1007/s00234-012-1107-8. Epub 2012 Nov 21.
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The "Remodelling Technique" in the Treatment of Wide Neck Intracranial Aneurysms. Angiographic Results and Clinical Follow-up in 56 Cases.“重塑技术”治疗宽颈颅内动脉瘤:56例血管造影结果及临床随访
Interv Neuroradiol. 1997 Mar 30;3(1):21-35. doi: 10.1177/159101999700300103. Epub 2001 May 15.
9
Endovascular management of dural arteriovenous fistulas of the transverse and sigmoid sinus in 150 patients.150例横窦和乙状窦硬脑膜动静脉瘘的血管内治疗
Neuroradiology. 2009 Jul;51(7):477-83. doi: 10.1007/s00234-009-0524-9. Epub 2009 Apr 8.
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Venous complications following petrosal vein sectioning in surgery of petrous apex meningiomas.岩尖脑膜瘤手术中岩静脉切断后的静脉并发症。
Eur J Surg Oncol. 2009 Jul;35(7):773-9. doi: 10.1016/j.ejso.2008.02.015. Epub 2008 Apr 21.