使用可脱卸弹簧圈治疗成人幕下软膜动静脉瘘：病例报告及文献综述
Adult Infratentorial Pial Arteriovenous Fistula Treated with Detachable Coils: A Case Report and a Review of Literature.
作者信息
Kidani Naoya, Inoue Yusuke, Nishigaki Shohei, Fujita Juntaro, Sotome Yuta, Tomita Yusuke, Muraoka Kenichiro, Hirotsune Nobuyuki, Nishino Shigeki
机构信息
Department of Neurosurgery and Neuroendovascular Treatment, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Hiroshima, Japan.
出版信息
NMC Case Rep J. 2023 May 17;10:145-150. doi: 10.2176/jns-nmc.2022-0391. eCollection 2023.
An appropriate therapeutic option for pial arteriovenous fistula (PAVF) can vary according to the angioarchtecture of the lesion. We present a case of adult infratentorial PAVF treated by transarterial coil embolization. A 26-year-old man was referred to our institution for an asymptomatic intracranial vascular lesion. Cerebral angiograms revealed PAVF fed by three arteries in the right cerebellomedullary cistern. The feeding arteries were accurately identified by three-dimensional rotational angiography and were successfully embolized using coils while normal arterial flow was preserved. This case report suggests that stepwise transarterial coil embolization can cure PAVF under detailed evaluation of its angioarchitecture.
对于软膜动静脉瘘（PAVF），合适的治疗方案可能因病变的血管结构而异。我们报告一例经动脉线圈栓塞治疗的成人幕下PAVF病例。一名26岁男性因无症状颅内血管病变转诊至我院。脑血管造影显示右侧小脑延髓池的PAVF由三条动脉供血。通过三维旋转血管造影准确识别了供血动脉，并在保留正常动脉血流的情况下成功使用线圈进行了栓塞。本病例报告表明，在对其血管结构进行详细评估的情况下，逐步经动脉线圈栓塞可治愈PAVF。
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