岩下窦硬膜动静脉瘘闭塞的进出技术：我的操作方法。
In-out-in technique for petrosal sinus dural arteriovenous fistula obliteration: How I Do It.
机构信息
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.
出版信息
Acta Neurochir (Wien). 2023 Dec;165(12):3793-3798. doi: 10.1007/s00701-023-05822-0. Epub 2023 Oct 2.
BACKGROUND
Dural arteriovenous fistulas (dAVFs) at the superior petrosal sinus are a rare but important subtype that pose a high risk of mortality and morbidity. Treatment for these lesions can be challenging with stand-alone endovascular methods.
METHODS
We describe our "in-out-in" technique for disconnecting dAVFs at the superior petrosal sinus, which includes definitive sacrifice of the superior petrosal sinus and the transverse sigmoid sinus, if involved. This method achieves complete fistula obliteration and minimizes recurrence risk with new arterial feeders.
CONCLUSIONS
The in-out-in technique is a safe and effective approach for the treatment of dAVFs involving the superior petrosal sinus.
背景
岩上窦动静脉瘘（dAVF）是一种罕见但重要的亚型，具有较高的死亡率和发病率。单独采用血管内方法治疗这些病变具有挑战性。
方法
我们描述了一种用于治疗岩上窦动静脉瘘的“内外-内”技术，该技术包括岩上窦和受累的横窦乙状窦的确定性结扎。这种方法可实现完全瘘闭塞，并最大限度地降低新动脉供血的复发风险。
结论
“内外-内”技术是治疗累及岩上窦的 dAVF 的一种安全有效的方法。
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