一种使用球囊和弹簧圈作为壁的经静脉栓塞硬脑膜动静脉瘘的新方法：病例报告
A Novel Approach for Transvenous Embolization of Dural Arteriovenous Fistula Using a Balloon and a Coil as Walls: Case Presentation.
作者信息
Fukutome Kenji, Aketa Shuta, Nakajima Tsukasa, Hayami Hiromichi, Sasaki Hiromitsu, Matsuoka Ryuta, Tei Rinsei, Shin Yasushi, Motoyama Yasushi
机构信息
Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan.
出版信息
Case Rep Vasc Med. 2022 Feb 25;2022:5164452. doi: 10.1155/2022/5164452. eCollection 2022.
BACKGROUND
Transvenous embolization (TVE) for dural arteriovenous fistula (DAVF) is difficult depending on an accessible route. Reported herein is a case of transvenous embolization using a balloon and a coil as "walls." . A 56-year-old male patient presented with a 1-month history of mild motor aphasia. The magnetic resonance imaging showed a hemorrhagic lesion in his left temporal lobe, and the cerebral angiography showed a DAVF, with parasinus shunt points near the torcula and the left transverse sinus. Access to the shunt point was very difficult; however, TVE was performed using a balloon as a wall. Furthermore, all lesion embolization was possible using a coil as a wall.
CONCLUSIONS
Using a balloon or coil as a wall during a TVE is useful.
背景
经静脉栓塞术（TVE）治疗硬脑膜动静脉瘘（DAVF）因可及路径的问题而具有挑战性。本文报道了一例使用球囊和弹簧圈作为“屏障”进行经静脉栓塞的病例。一名56岁男性患者有1个月轻度运动性失语病史。磁共振成像显示其左侧颞叶有出血性病变，脑血管造影显示为硬脑膜动静脉瘘，在窦汇和左侧横窦附近有静脉窦分流点。进入分流点非常困难；然而，使用球囊作为屏障进行了经静脉栓塞术。此外，使用弹簧圈作为屏障实现了所有病变的栓塞。
结论
在经静脉栓塞术中使用球囊或弹簧圈作为屏障是有用的。
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