Nepper-Rasmussen H J, Bjerre P K, Jørgensen K E
Røntgendiagnostisk afdeling, Odense Sygehus.
Ugeskr Laeger. 1993 Oct 25;155(43):3471-6.
Endovascular interventional neuroradiology was introduced less than 20 years ago, and has since then evolved to be an established treatment. Endovascular embolization is particularly well-suited for treatment of patients with intra/extracranial arterio-venous malformations, arteriovenous fistulae and inaccessible arterial aneurysms. Initiated through cooperation with a French team we have until now at the Radiological Department, Odense University Hospital, treated a total of 13 patients (one year). Eight arterio-venous malformations or fistulae have been completely (three patients) or partially (five patients) occluded with Histoacryl glue. In two other patients the internal carotid artery has been occluded with detachable balloons. Three additional patients with an extracranial cavernous hemangioma have been treated with direct puncture and injection of sclerosing agent (Alcohol) into the lesion, with resulting shrinkage of the lesion in all patients. Non-intended embolization of an artery was observed in one case. Endovascular interventional neuroradiology, especially embolization, is a step forward in the treatment of delicate vascular lesions in the brain and face.
血管内介入神经放射学在不到20年前被引入，从那时起已发展成为一种成熟的治疗方法。血管内栓塞特别适合治疗颅内/外动静脉畸形、动静脉瘘和难以触及的动脉瘤患者。通过与一个法国团队合作，到目前为止，我们在欧登塞大学医院放射科共治疗了13例患者（一年时间）。8例动静脉畸形或瘘已被完全（3例患者）或部分（5例患者）用组织黏合剂Histoacryl封堵。另外2例患者的颈内动脉已用可脱性球囊封堵。另外3例患有颅外海绵状血管瘤的患者已接受直接穿刺并向病变内注射硬化剂（酒精）治疗，所有患者的病变均有缩小。1例出现了意外的动脉栓塞。血管内介入神经放射学，尤其是栓塞术，是治疗脑和面部精细血管病变的一大进步。
