介入神经放射学

Charles Dotter Institute of Interventional Therapy, Oregon Health Sciences University, Portland 97201-3098.

West J Med. 1993 Feb;158(2):162-70.

A wide variety of diseases affecting the central nervous system and head and neck can be treated using interventional neuroradiologic techniques. These new treatments have depended on advances in radiologic imaging, catheter technology, and the development of new embolic agents. These procedures may be an adjunct to other therapy, palliative or curative. Diseases for which interventional neuroradiologic techniques have been major advances in treatment include cerebral aneurysms, vasospasm after subarachnoid hemorrhage, cerebral arteriovenous malformations, dural arteriovenous fistulas, dural sinus thrombosis, atherosclerosis, scalp arteriovenous fistulas, carotid-cavernous fistulas, and stroke. This field is rapidly evolving as advances are made in catheter technology and new embolic agents are developed.

多种影响中枢神经系统以及头颈部的疾病都可以使用介入神经放射学技术进行治疗。这些新的治疗方法依赖于放射影像学、导管技术的进步以及新型栓塞剂的研发。这些手术可以作为其他治疗（姑息性或治愈性）的辅助手段。介入神经放射学技术在治疗方面取得重大进展的疾病包括脑动脉瘤、蛛网膜下腔出血后的血管痉挛、脑动静脉畸形、硬脑膜动静脉瘘、硬脑膜窦血栓形成、动脉粥样硬化、头皮动静脉瘘、颈动脉海绵窦瘘和中风。随着导管技术的进步和新型栓塞剂的研发，这一领域正在迅速发展。