Weingrad D N, Doppman J L, Chretien P B, Di Chiro G
J Neurosurg. 1979 Jun;50(6):805-10. doi: 10.3171/jns.1979.50.6.0805.
A case is presented in which a posttraumatic pelvic arteriovenous fistula caused progressive paraplegia because of voluminous shunting into the epidural venous system. Surgical ligation and transcatheter embolization of major and minor arterial feeders decreased shunt flow sufficiently to permit direct embolization of the fistula by an injectable plastic. This combined approach may allow obliteration of unresectable acquired or congenital arteriovenous malformations.
本文报告一例创伤后盆腔动静脉瘘，因大量分流至硬膜外静脉系统导致进行性截瘫。对主要和次要供血动脉进行手术结扎和经导管栓塞，充分减少了分流流量，从而能够通过可注射塑料对瘘管进行直接栓塞。这种联合方法可能使无法切除的后天性或先天性动静脉畸形得以闭塞。
