耐久性动脉静脉的共聚物液体栓塞:一个20年的单中心经验
Richard Voldřich1, František Charvát2, David Netuka1
1Department of Neurosurgery and Neurooncology, Charles University in Prague, First Medical Faculty, Military University Hospital, Prague, Czech Republic.
概括
跨动脉体栓塞有效治疗持续动脉静脉囊 (DAVFs),包括前脑,实现高闭合率和积极的患者结果.
科学领域:
- 神经干预放射学神经干预放射学
- 血管神经学 血管神经学
- 脑血管疾病 脑血管疾病
背景情况:
- 持续性动脉静脉 (DAVF) 与皮质静脉排水 (CVD) 构成中风和出血的风险.
- 使用Onyx的内血管治疗 (EVT) 是一种主要的方法.
- 对前脑DAVF的最佳策略需要澄清.
研究的目的:
- 评估EVT对DAVFs的长期结果.
- 为了评估跨动脉的Onyx栓塞的疗效.
- 分析对前脑DAVFs的治疗策略.
主要方法:
- 追溯分析了2002年至2023年期间处理的195起DAVF病例.
- 收集有关患者人口统计,临床表现和血管学发现的数据.
- 对前腔DAVF结果的单独分析.
主要成果:
- 出血是最常见的症状 (41%);横向/标质鼻区域是最常见的位置 (48%).
- 在92%的病例中使用过动脉体栓塞,达到88%的立即完全封闭率.
- 总体而言,91%的DAVF在随访时被关闭,所有10个前腔DAVF都得到了成功治疗.
结论:
- 经动脉体栓塞为DAVF治愈提供了很高的成功率 (>90%).
- 这种技术对一般的DAVF和前脑 fossa的DAVF都有效.
- 长期的临床经验支持欧尼克斯栓塞作为最终治疗方法.
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