Gobin Y P, Pasco A, Merland J J, Aymard A A, Casasco A, Houdart E
Service de Neuroradiologie, Hopital Lariboisière, Paris, France.
AJNR Am J Neuroradiol. 1994 Jan;15(1):79-82.
To describe the technique and results of percutaneous puncture of the external carotid artery or one of its branches distal to a surgical arterial ligation.
Forty-three patients underwent 64 embolization attempts by percutaneous arterial puncture distal to an external carotid artery ligation. The punctured arteries were the trunk of the external carotid artery in 31 patients, the internal maxillary artery in nine, the facial artery in nine, the lingual artery in eight, the occipital artery in four, and the superficial temporal artery in three.
In 64 attempts 57 were successful in one session, six were successful in two sessions, and one failed. Puncture-related complications were eight spontaneously resolving hematomas and six asymptomatic punctures of the internal carotid artery.
After surgical ligation of the external carotid artery or its branches, arterial puncture above the ligation allowed selective catheterization and endovascular occlusion of vascular lesions.
描述经皮穿刺颈外动脉或其在外科动脉结扎远端的分支之一的技术及结果。
43例患者在颈外动脉结扎远端行经皮动脉穿刺进行了64次栓塞尝试。穿刺的动脉中，31例为颈外动脉主干，9例为上颌内动脉，9例为面动脉，8例为舌动脉，4例为枕动脉，3例为颞浅动脉。
64次尝试中，57次一次成功，6次两次成功，1次失败。与穿刺相关的并发症为8例自发消退的血肿和6例无症状的颈内动脉穿刺。
在颈外动脉或其分支进行外科结扎后，在结扎上方进行动脉穿刺可实现血管病变的选择性插管和血管内闭塞。
