通过静脉栓塞隔离的上层石头鼻腔 持续性动脉静脉囊
Koji Hirata1,2, Kyoji Tsuda1, Keishi Fujita1
1Department of Neurosurgery, Ibaraki Seinan Medical Center Hospital, Sashima, Ibaraki, Japan.
NMC case report journal
|February 8, 2024
概括
静脉输血栓塞是一种安全的治疗罕见的孤立的上层状鼻腔硬性动脉静脉 (SPSdAVF). 进入血栓化鼻段被证明是成功栓塞的可行替代方案.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 干预性放射学 干预性放射学
背景情况:
- 持续性动脉静脉 (dAVFs) 是 dura mater 动脉和静脉之间的异常连接.
- 孤立的上方状鼻腔硬性动脉静脉 (SPSdAVFs) 是罕见的,并带来独特的内血管挑战.
- 透静脉栓塞是一种公认的治疗方法,但鼻进入可能很困难.
研究的目的:
- 报告一个通过血栓化鼻片段成功通过隔离的SPSdAVF进行静脉输血栓塞的病例.
- 突出一种替代的内血管方法来管理具有挑战性的SPSdAVF病例.
主要方法:
- 一名39岁的女性患者患有后静脉梗塞和右脸部,通过MRI和数字减去血管学诊断出了一个孤立的SPSdAVF.
- 在隔离的上方石头鼻后方确定了状点,流量完全通过石头静脉.
- 与对比度增强的MRI揭示了上方石头鼻前部段的血栓形成.
主要成果:
- 通过输血栓塞成功地通过通过它的血栓前部段进入上层石头鼻腔.
- 该程序在没有任何相关并发症的情况下完成.
- 通过这种替代性内血管技术,患者的病情得到了有效的管理.
结论:
- 通过血栓状的上层石头鼻腔段进行静脉输血是孤立的SPSdAVF的可行和安全的替代治疗方法.
- 这种方法扩大了治疗罕见和复杂的长期动脉静脉囊的内血管选择.
- 在具有挑战性的SPSdAVF病例中,仔细的术前成像对于确定合适的静脉接入路径至关重要.
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