洞穴鼻腔长期动脉静脉囊通过面部静脉进行透静脉栓塞治疗:一个病例报告
Takuto Kuwajima1,2, Mikiya Beppu1,2, Kazuhiko Maeda3
1Department of Neurosurgery, Saiseikai Noe Hospital, Osaka, Japan.
Surgical neurology international
|August 10, 2023
概括
洞腔 sinus 持续性动脉静脉 (CSDAVFs) 的静脉栓塞 (TVE) 可以通过面部静脉 (FV) 和上眼静脉 (SOV) 实现,当下层石 sinus (IPS) 不存在时. 这种方法为成功的CSDAVF治疗提供了可行的替代方案.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 血管外科 血管外科
背景情况:
- 洞穴鼻腔硬性动脉静脉 (CSDAVFs) 是一种复杂的血管形.
- 下层状鼻 (IPS) 是通过静脉栓塞 (TVE) 的标准静脉通道.
- 当IPS被堵塞或不适合时,需要替代静脉通道.
研究的目的:
- 报告一个成功通过静脉栓塞 (TVE) 的案例,用于洞腔鼻腔硬性动脉静脉 (CSDAVF),使用上眼静脉 (SOV) 方法.
- 为了证明面部静脉 (FV) 作为TVE在CSDAVF治疗中的替代通道的有效性.
主要方法:
- 一个患有出血的CSDAVF病例得到治疗.
- 大脑血管造影,CT静脉造影和MRI证实CSDAVF通过一个封闭的IPS流入SOV.
- 透静脉栓塞 (TVE) 通过面部静脉 (FV) 使用远距离接入导管 (DAC) 进行.
主要成果:
- 面部静脉 (FV) 方法允许成功导航到上眼静脉 (SOV) 和洞穴鼻腔 (CS).
- 通过TVE实现了CSDAVF的完全封闭.
- FV方法是有效和高效的,由DAC提供便利.
结论:
- 面部静脉 (FV) 和上眼静脉 (SOV) 在IPS无法进入时,为CSDAVFs的透静脉栓塞 (TVE) 提供了可行的替代通道.
- 使用远距离通道导管 (DAC) 提高了这种替代方法的安全性和有效性.
- 这一案例凸显了考虑替代静脉通路的重要性,以获得成功的CSDAVF治疗.
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