穿越动脉栓塞和穿越静脉栓塞,用于横向-sigmoid sinus 持续性动脉静脉囊与皮层静脉逆流:一个比较研究
Tetsuya Tsukada1, Takashi Izumi2, Masahiro Nishihori2
1Department of Neurosurgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Aichi, Japan.
概括
穿动脉栓塞 (TAE) 和穿静脉栓塞 (TVE) 对于治疗带有皮层静脉逆流的横向 - 半导体鼻腔硬脉静脉囊同样有效. 与TVE相比,使用ONYX的TAE可能会减少辐射暴露.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管神经学 血管神经学
背景情况:
- 持续性动脉静脉 (DAVF) 与皮质静脉逆流 (CVR) 存在重大风险.
- 横向西格 sinus DAVFs 是一种特定类型的 DAVF.
- 用ONYX进行的跨动脉栓塞 (TAE) 已成为一种治疗选择.
研究的目的:
- 为了比较TAE与ONYX的有效性和安全性与传统的透静脉栓塞 (TVE).
- 为了评估 CVR. 的横向 - 半 sinus DAVF 的治疗结果.
主要方法:
- 追溯比较37名患有横向西格 sinus DAVF和CVR的患者.
- 患者接受了TAE (n=10) 或TVE (n=27) 的治疗.
- 评估结果包括完全封闭,残留CVR,并发症 (mRS ≥1),对比剂使用,辐射剂量和手术时间.
主要成果:
- 两种TAE和TVE都实现了高的完全封闭率 (80%).
- 剩余的CVR率为TAE的10%和TVE的3.4%.
- 在这两组中都没有观察到任何显著的并发症 (恶化mRS≥1). 在TAE组中,辐射剂量较低.
结论:
- TAE和TVE显示了 CVR 的横向 - 半标状鼻 DAVF 的可比较高的完全闭塞率.
- TAE可能会减少辐射暴露.
- 这两种技术都是安全有效的治疗选择.
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