Kawano Y, Takizawa S, Shibuya H, Asao M, Goto K, Koganemaru F, Okudera T
Nihon Geka Gakkai Zasshi. 1985 Mar;86(3):325-9.
Vertebral arteriovenous fistulas caused by insertion of percutaneous monitoring catheter through internal jugular vein are rare complications. This is a case report of a successful treatment by transcatheter embolization using spring occluder for the fistulas. Particular attention should be paid to the following: Normal basilar and contralateral vertebral arteriograms are prerequisites to this procedure in order to avoid its potential neurological hazards. For the complete elimination of the fistulas with retrograde filling, embolic material should be placed in the artery not only proximal but also distal to the fistulas opening.
经颈内静脉插入经皮监测导管引起的椎动脉动静脉瘘是罕见的并发症。本文报告一例使用弹簧圈经导管栓塞成功治疗此类瘘的病例。应特别注意以下几点:正常的基底动脉和对侧椎动脉血管造影是该手术的前提条件,以避免其潜在的神经学风险。为了完全消除伴有逆行充盈的瘘,栓塞材料不仅应放置在瘘口近端的动脉中,还应放置在瘘口远端的动脉中。