Gilsbach J, Seeger W
Radiologe. 1977 Dec;17(12):514-20.
Based on the literature and own experiences the indications for embolization in neurosurgical diseases are presented. This procedure is used for the treatment of arteriovenous malformations and fistulas, preoperatively in richly vascularized neoplasm and non operable tumors. Modern techniques (super-selective angiography, double-lumen balloon-catheter and catheters with detachable balloons) enable to occlude the territory of A. carotis ext., the cavernous portion of A. carotis int., the cervical portion of A. vertebralis, and the dorsal spinal radicular arteries. Complications are rare. There is a limited indication for embolization of the intracerebral area and the territory of A. spinalis and the ventral radiscaular arteries because of additional damage of the central nervous system. Various techniques and possible complications are discussed and own cases are presented.
基于文献和自身经验，介绍了神经外科疾病中栓塞治疗的适应证。该手术用于治疗动静脉畸形和瘘管，术前用于血供丰富的肿瘤和无法手术的肿瘤。现代技术（超选择性血管造影、双腔球囊导管和可脱性球囊导管）能够闭塞颈外动脉、颈内动脉海绵窦段、椎动脉颈段以及脊髓背根动脉的供血区域。并发症罕见。由于会对中枢神经系统造成额外损伤，脑区、脊髓动脉和脊髓腹侧根动脉供血区域的栓塞适应证有限。文中讨论了各种技术和可能的并发症，并展示了自身病例。
