Mehringer C M, Hieshima G B, Grinnell V S, Tsai F Y, Bentson J R, Hasso A N, Thompson J R, Strother C, Pribram H F
AJNR Am J Neuroradiol. 1983 Mar-Apr;4(2):137-42.
Therapeutic embolization is an effective and relatively safe method for managing many cases of head and neck trauma. In the last 5 years, 78 traumatic vascular lesions--10 arterial transections and 68 arteriovenous fistula--were treated by intravascular embolization at four medical centers. Selection of embolic materials is discussed and different types of lesions are illustrated. Treatment was successful in every instance. Complications were limited to one case of cerebral infarction and two cases of temporary oculomotor weakness. The indications for embolization have widened beyond life-threatening hemorrhage alone, and continued improvement in techniques and embolic agents should see an increased use of this form of treatment.
治疗性栓塞是处理许多头颈部创伤病例的一种有效且相对安全的方法。在过去5年中，四个医疗中心通过血管内栓塞治疗了78例创伤性血管病变——10例动脉横断伤和68例动静脉瘘。文中讨论了栓塞材料的选择并举例说明了不同类型的病变。每例治疗均获成功。并发症仅限于1例脑梗死和2例短暂性动眼神经麻痹。栓塞的适应证已不再局限于仅危及生命的出血，随着技术和栓塞剂的不断改进，这种治疗方式的应用有望增加。
