Aletich V A, Debrun G M, Koenigsberg R, Ausman J I, Charbel F, Dujovny M
Department of Radiology, University of Illinois at Chicago, 60612, USA.
AJNR Am J Neuroradiol. 1997 May;18(5):929-35.
Arteriovenous malformation nidus catheterization with a flow-directed catheter at times can be difficult owing to tortuosity of the intracranial vasculature and distal location of the nidus. Since January 1995, hydrophilic wire has been used in conjunction with the 1.8F flow-directed microcatheter in over 150 vessel embolizations with cyanoacrylate glue for brain and spinal arteriovenous malformations at our institution. This technique has improved our success rate in achieving superselective catheterization of the nidus and has shortened the overall procedure time. To date, only one complication has occurred that was directly related to wire manipulation.
使用血流导向导管对动静脉畸形瘤巢进行插管时,由于颅内血管迂曲和瘤巢位置偏远,有时会很困难。自1995年1月以来,在我们机构,亲水导丝已与1.8F血流导向微导管联合用于150多次使用氰基丙烯酸酯胶栓塞脑和脊髓动静脉畸形的血管操作中。这项技术提高了我们实现瘤巢超选择性插管的成功率,并缩短了总体手术时间。迄今为止,仅发生了一例与导丝操作直接相关的并发症。