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[血管内栓塞术治疗颅脑血管疾病]

[Intravascular embolization in treatment of craniocerebral vascular diseases].

作者信息

Wu Z X

机构信息

Beijing Neurosurgical Instiatute.

出版信息

Zhonghua Wai Ke Za Zhi. 1993 Jan;31(1):8-12.

PMID:8404348
Abstract

From Aug. 1986 to June 1992, 193 cases of craniocerebral vascular diseases were treated with intravascular embolization. Among these there were 52 cases of carotid-cavernous fistula (CCF), 31 intracranial aneurysms, 83 arteriovenous malformations (AVM), and 27 dural AVMs. Intravascular embolization was first used in the treatment of CCF and dural AVM. For those of non-clippable aneurysms, detachable balloon catheter was adopted, but investigation of whole brain vessels and Matas' test should be made before embolization. As to brain AVM, embolization or combination of embolization and surgery is practical in some cases. Use of IBCA glue or silk suture in embolization is depends on the anatomical feature of AVM.

摘要

1986年8月至1992年6月,193例脑血管疾病患者接受了血管内栓塞治疗。其中,颈内动脉海绵窦瘘(CCF)52例,颅内动脉瘤31例,动静脉畸形(AVM)83例,硬脑膜动静脉畸形27例。血管内栓塞首次用于CCF和硬脑膜动静脉畸形的治疗。对于无法夹闭的动脉瘤,采用可脱性球囊导管,但在栓塞前应进行全脑血管造影和Matas试验。对于脑AVM,在某些情况下栓塞或栓塞与手术联合应用是可行的。栓塞中IBCA胶或丝线的使用取决于AVM的解剖特点。

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