Nakstad P H, Bakke S J, Ormåsen E, Lund G, Midtflå V
Nevroradiologisk seksjon, Røntgenavdelingen, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1994 Oct 20;114(25):2956-9.
The authors describe five years of experience of embolization in arteriovenous malformations and fistulas, aneurysms and tumours of the central nervous system and head and neck. Altogether 143 patients were embolized in 185 sessions. Polyvinyl alcohol particles and platinum fibre coils were used as embolic agents. Permanent complications were rare, e.g 5% in arteriovenous malformations of the brain. Embolizations were either complete or preoperatively incomplete and seemed to positively influence the final outcome for the patients. The authors advocate a policy which gives due consideration to the volume of patients who might benefit from this specialized neuroradiological activity.
作者描述了在中枢神经系统以及头颈部动静脉畸形、瘘管、动脉瘤和肿瘤的栓塞治疗方面五年的经验。总共143例患者接受了185次栓塞治疗。聚乙烯醇颗粒和铂纤维线圈被用作栓塞剂。永久性并发症很少见,例如脑动静脉畸形患者中的发生率为5%。栓塞治疗要么是完全的,要么是术前不完全的,并且似乎对患者的最终预后有积极影响。作者提倡一种政策,该政策要充分考虑到可能从这种专门的神经放射学治疗中受益的患者数量。