Wikholm G
Section for Interventional Neuroradiology, Sahlgrenska University Hospital, Göteborg, Sweden.
AJNR Am J Neuroradiol. 1995 Mar;16(3):479-82.
To verify the permanence of total occlusion of cerebral arteriovenous malformations after embolization with N-butyl cyano-acrylate and to evaluate the occlusion rate.
One hundred thirty-four patients were treated for cerebral arteriovenous malformations with N-butyl cyano-acrylate embolization after superselective catheterization. Those initially totally occluded have been followed with angiography.
In 15 instances (11.2%) the arteriovenous malformations were totally occluded by embolization alone. Follow-up angiograms have been performed in 12 cases (80%) after 4 to 78 (mean, 27) months after embolization. In all instances the arteriovenous malformations have remained occluded, and there have been no clinical signs of activity.
After total occlusion of a cerebral arteriovenous malformation with N-butyl cyano-acrylate, the lesion stays occluded, and the clinical course seems stable.
验证用氰基丙烯酸正丁酯栓塞后脑动静脉畸形完全闭塞的持久性，并评估闭塞率。
134例患者在超选择性插管后用氰基丙烯酸正丁酯栓塞治疗脑动静脉畸形。最初完全闭塞的患者接受了血管造影随访。
15例（11.2%）动静脉畸形仅通过栓塞就完全闭塞。在栓塞后4至78个月（平均27个月）对12例（80%）患者进行了随访血管造影。在所有病例中，动静脉畸形均保持闭塞，且无活动的临床体征。
用氰基丙烯酸正丁酯使脑动静脉畸形完全闭塞后，病变保持闭塞，临床病程似乎稳定。
