• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

远端通路导管在胸段中段脊髓硬脊膜动静脉瘘血管内栓塞中的应用价值

Usefulness of Distal Access Catheter in Endovascular Embolization for Spinal Dural Arteriovenous Fistulae in the Mid-Thoracic Segment.

作者信息

Satoh Daisuke, Nishikawa Akihiro, Kitazawa Kazuo, Kobayashi Shigeaki

机构信息

Department of Neurosurgery, Aizawa Hospital, Matsumoto, Nagano, Japan.

Department of Neurosurgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.

出版信息

J Neuroendovasc Ther. 2021;15(4):260-264. doi: 10.5797/jnet.tn.2020-0129. Epub 2020 Nov 19.

DOI:10.5797/jnet.tn.2020-0129
PMID:37501694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370930/
Abstract

OBJECTIVE

We report a case of mid-thoracic spinal dural arteriovenous fistula (SDAVF) that was successfully treated by transarterial embolization using a distal access catheter (DAC).

CASE PRESENTATION

A 75-year-old male presented with about a 2-year history of slowly progressive bilateral lower extremity weakness and numbness. Spinal MRI revealed significant spinal cord lesions and flow voids below Th4. Spinal angiography revealed a mid-thoracic SDAVF. We performed a transarterial selective embolization using a 4.2Fr DAC combined with a 6Fr guiding catheter to obtain a stronger support. The fistula was completely occluded.

CONCLUSION

For endovascular embolization of SDAVF, especially in the case of mid-thoracic SDAVF, using a DAC can be one of the most powerful options to obtain a stronger support.

摘要

目的

我们报告一例胸段脊髓硬脊膜动静脉瘘（SDAVF），通过使用远端通路导管（DAC）经动脉栓塞成功治疗。

病例介绍

一名75岁男性，有大约2年缓慢进展的双侧下肢无力和麻木病史。脊髓MRI显示胸4以下有明显的脊髓病变和流空信号。脊髓血管造影显示为胸段SDAVF。我们使用4.2Fr的DAC联合6Fr引导导管进行经动脉选择性栓塞，以获得更强的支撑。瘘口完全闭塞。

结论

对于SDAVF的血管内栓塞，尤其是胸段SDAVF，使用DAC可能是获得更强支撑的最有效选择之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/cb61451cb97a/jnet-15-260-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/c8414658f771/jnet-15-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/47da2f41b3cb/jnet-15-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/6daa2daad774/jnet-15-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/9b85f67a5799/jnet-15-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/8a11c592a405/jnet-15-260-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/cb61451cb97a/jnet-15-260-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/c8414658f771/jnet-15-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/47da2f41b3cb/jnet-15-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/6daa2daad774/jnet-15-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/9b85f67a5799/jnet-15-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/8a11c592a405/jnet-15-260-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0811/10370930/cb61451cb97a/jnet-15-260-g006.jpg

相似文献

1
Usefulness of Distal Access Catheter in Endovascular Embolization for Spinal Dural Arteriovenous Fistulae in the Mid-Thoracic Segment.远端通路导管在胸段中段脊髓硬脊膜动静脉瘘血管内栓塞中的应用价值
J Neuroendovasc Ther. 2021;15(4):260-264. doi: 10.5797/jnet.tn.2020-0129. Epub 2020 Nov 19.
2
[Feasibility and efficiency of embolization of spinal dural arteriovenous fistula].[脊髓硬脊膜动静脉瘘栓塞术的可行性与有效性]
Zhonghua Wai Ke Za Zhi. 2013 Mar;51(3):216-20.
3
Endovascular embolization combined with anterior cervical corpectomy for treatment of cervical spinal dural arteriovenous fistula.血管内栓塞联合颈椎前路椎体次全切除术治疗颈段脊髓硬脊膜动静脉瘘
Surg Neurol Int. 2024 Sep 20;15:341. doi: 10.25259/SNI_657_2024. eCollection 2024.
4
A rare case of spinal dural arteriovenous fistula.一例罕见的脊髓硬脊膜动静脉瘘。
Neurol Int. 2012 Oct 5;4(3):e19. doi: 10.4081/ni.2012.e19. Epub 2012 Dec 18.
5
Balloon-assisted transarterial embolization of type 1 spinal dural arteriovenous fistula.球囊辅助经动脉栓塞治疗1型硬脊膜动静脉瘘
Neurosurg Focus. 2014 Jul;37(1 Suppl):1. doi: 10.3171/2014.V2.FOCUS14175.
6
[Spinal dural arteriovenous fistula presented with rapidly progressive myelopathy, longitudinally extensive spinal cord lesion, pleocytosis with polymorphonuclear predominance, and decreased cerebrospinal fluid glucose levels: a case report].[脊髓硬脊膜动静脉瘘伴快速进展性脊髓病、纵向广泛脊髓病变、以多形核白细胞为主的细胞增多症及脑脊液葡萄糖水平降低：一例报告]
Rinsho Shinkeigaku. 2020 Oct 24;60(10):699-705. doi: 10.5692/clinicalneurol.cn-001472. Epub 2020 Sep 5.
7
A treatment-refractory spinal dural arteriovenous fistula sharing arterial origin with the Artery of Adamkiewicz: Repeated endovascular treatment after failed microsurgery.一例与Adamkiewicz动脉共干起源的治疗难治性脊髓硬脊膜动静脉瘘：显微手术失败后反复血管内治疗
Surg Neurol Int. 2014 Jun 19;5(Suppl 4):S165-9. doi: 10.4103/2152-7806.134814. eCollection 2014.
8
Cauda equina syndrome caused by spinal dural arteriovenous fistula.脊髓硬脊膜动静脉瘘所致马尾综合征
Ann Rehabil Med. 2011 Dec;35(6):928-33. doi: 10.5535/arm.2011.35.6.928. Epub 2011 Dec 30.
9
Embolization of a spinal dural arteriovenous fistula with ethylene-vinyl alcohol copolymer (Onyx) using a dual-lumen microballoon catheter and buddy wire technique.使用双腔微球囊导管和导丝技术，用乙烯-乙烯醇共聚物（Onyx）栓塞脊髓硬脊膜动静脉瘘。
Surg Neurol Int. 2017 Aug 1;8:166. doi: 10.4103/sni.sni_193_17. eCollection 2017.
10
Intraoperative Spinal Angiography during Microsurgical Occlusion of Spinal Dural Arteriovenous Fistula within the Hybrid Operation Room.杂交手术室中显微镜下脊髓硬脊膜动静脉瘘夹闭术中的脊髓血管造影
J Neurol Surg A Cent Eur Neurosurg. 2022 Sep;83(5):486-493. doi: 10.1055/s-0041-1736634. Epub 2021 Dec 20.

引用本文的文献

1
Successful treatment of rapid onset Foix-Alajouanine syndrome following hyperselective endovascular embolization of thoracic dural arteriovenous fistula: Case report, technical note and literature review.经胸段硬脊膜动静脉瘘超选择性血管内栓塞术后快速发作的福-阿二氏综合征的成功治疗：病例报告、技术说明及文献综述
J Cerebrovasc Endovasc Neurosurg. 2025 Jun;27(2):146-151. doi: 10.7461/jcen.2024.E2024.04.007. Epub 2025 Feb 7.

本文引用的文献

1
Dual-lumen balloon to increase onyx venous penetration in the treatment of spinal dural arteriovenous fistulas.双腔球囊增加钽棉静脉渗透在脊髓硬脊膜动静脉瘘的治疗中的应用。
J Neuroradiol. 2018 Mar;45(2):142-146. doi: 10.1016/j.neurad.2017.09.006. Epub 2017 Oct 5.
2
Embolization of a spinal dural arteriovenous fistula with ethylene-vinyl alcohol copolymer (Onyx) using a dual-lumen microballoon catheter and buddy wire technique.使用双腔微球囊导管和导丝技术，用乙烯-乙烯醇共聚物（Onyx）栓塞脊髓硬脊膜动静脉瘘。
Surg Neurol Int. 2017 Aug 1;8:166. doi: 10.4103/sni.sni_193_17. eCollection 2017.
3
Angioarchitecture of Spinal Dural Arteriovenous Fistula - Evaluation with 3D Rotational Angiography.
脊髓硬脊膜动静脉瘘的血管构筑——三维旋转血管造影评估
Neurointervention. 2012 Feb;7(1):10-6. doi: 10.5469/neuroint.2012.7.1.10. Epub 2012 Feb 29.
4
Endovascular management of spinal dural arteriovenous fistulas. A review.脊髓硬脊膜动静脉瘘的血管内治疗。综述。
Neurosurg Focus. 2009 May;26(5):E15. doi: 10.3171/2009.2.FOCUS098.
5
Spinal dural arteriovenous fistulas.脊髓硬脊膜动静脉瘘
AJNR Am J Neuroradiol. 2009 Apr;30(4):639-48. doi: 10.3174/ajnr.A1485. Epub 2009 Feb 12.
6
N-butyl 2-cyanoacrylate embolization of spinal dural arteriovenous fistulae.脊髓硬脊膜动静脉瘘的正丁基-2-氰基丙烯酸酯栓塞术
AJNR Am J Neuroradiol. 2001 Jan;22(1):40-7.
7
Embolization of spinal dural arteriovenous fistulae: results and follow-up.脊髓硬脊膜动静脉瘘的栓塞治疗：结果与随访
Neurosurgery. 1997 Apr;40(4):675-82; discussion 682-3. doi: 10.1097/00006123-199704000-00004.