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介入神经放射学

Interventional neuroradiology.

作者信息

Cross D T

机构信息

Mallinckrodt Institute of Radiology, Washington University Medical Center, St. Louis, Missouri.

出版信息

Curr Opin Neurol. 1993 Dec;6(6):891-9. doi: 10.1097/00019052-199312000-00011.

Abstract

Interventional neuroradiology continues to play an increasing role in the treatment of intracranial aneurysms, the treatment of vasospasm related to subarachnoid hemorrhage, and the treatment of vascular malformations and fistulae of the brain and spine. New techniques for aneurysm embolization are examined, such as detachable coil systems, as are reports of intracranial angioplasty and superselective papaverine infusion for vasospasm following aneurysm rupture. Results of investigations of arteriovenous malformation embolizations and recent analyses of risk factors associated with arteriovenous malformations are discussed. New approaches to tumor embolization are presented, and there are new data on angioplasty for cerebral atherosclerotic disease. Local fibrinolytic therapy in the treatment of patients with acute intracranial arterial or venous sinus thrombosis is evaluated.

摘要

介入神经放射学在颅内动脉瘤的治疗、蛛网膜下腔出血相关血管痉挛的治疗以及脑和脊柱血管畸形与瘘管的治疗中继续发挥着越来越重要的作用。文中探讨了动脉瘤栓塞的新技术,如可脱性弹簧圈系统,还介绍了颅内血管成形术以及动脉瘤破裂后血管痉挛的超选择性罂粟碱输注的相关报道。讨论了动静脉畸形栓塞的研究结果以及与动静脉畸形相关的危险因素的最新分析。介绍了肿瘤栓塞的新方法,并且有关于脑动脉粥样硬化疾病血管成形术的新数据。评估了局部纤溶疗法在急性颅内动脉或静脉窦血栓形成患者治疗中的应用。

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