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高级别硬脑膜动静脉瘘中硬脑膜至软脑膜供血的识别:技术说明

Recognition of dural to pial supply in high-grade dural arteriovenous fistula: A technical note.

作者信息

Miyake Shigeta, Kee Tze Phei, Radovanovic Ivan, Terbrugge Karel, Krings Timo, Hendriks Eef Jacobus

机构信息

Division of Neuroradiology, Joint Department of Medical Imaging, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Department of Neurosurgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.

出版信息

Interv Neuroradiol. 2024 Oct 8:15910199241272596. doi: 10.1177/15910199241272596.

Abstract

High-grade dural arteriovenous fistulas (DAVFs) are known to demonstrate classical dural supply and can demonstrate pre-existing dural supply and 'pure' arterial supply from pial branches. The latter two are examples of congenital versus acquired pial to dural shunting, respectively. We describe the recognition of dural to pial supply during combined transarterial and transvenous embolization of a high-grade DAVF with holocephalic venous reflux, stressing the importance of careful assessment of this condition with micro catheter injections.

摘要

已知高级别硬脑膜动静脉瘘(DAVF)表现为典型的硬脑膜供血,也可表现为先前存在的硬脑膜供血以及来自软膜分支的“单纯”动脉供血。后两者分别是先天性和后天性软膜至硬脑膜分流的例子。我们描述了在对一例伴有全脑静脉反流的高级别DAVF进行经动脉和经静脉联合栓塞过程中对硬脑膜至软膜供血的识别,强调了通过微导管注射仔细评估这种情况的重要性。

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