表面动脉的多个自发性动脉静脉
Kota Ueno1, Norihito Shimamura1, Keita Yanagiya1
1Department of Neurosurgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
外动脉 (ECA) 的多个自发性动脉静脉 (AVF) 通过线圈栓塞成功治疗. 这种结合过动脉和静脉过导的方法为这些罕见的血管形提供了治愈的选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 神经内血管疗法 神经内血管疗法
背景情况:
- 多重自发性动脉静脉囊 (AVFs) 涉及外动脉 (ECA) 是非常罕见的临床事件.
- 自发的ECAAVF可以出现诸如脉动性耳声和可触摸的部质量等症状.
研究的目的:
- 呈现ECA多个自发AVF的情况.
- 描述使用综合内血管方法成功治疗这些AVF.
主要方法:
- 一名59岁的女性患者,患有表面动脉 (STA) 的症状双侧AVF,这是ECA的一个分支.
- 治疗涉及混合内血管技术,结合了跨动脉和透静脉线圈栓塞.
- 线圈栓塞在动脉瘤的近端和远端进行,以及排水静脉的栓塞.
主要成果:
- 患者的脉动性耳和部质量症状在术后完全消失.
- 1天和6个月后的术后成像证实AVF或相关动脉瘤没有复发.
- 通过动脉和静脉输入的综合方法在实现完全封闭方面是有效的.
结论:
- 使用结合的跨动脉和静脉输血策略的线圈栓塞是ECA多个自发AVF的可行和治愈治疗方法.
- 透静脉栓塞,特别是在动脉瘤的远端段,是管理这些复杂的血管形的一个有价值的技术.
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