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通过使用 Onyx 进行跨动脉栓塞治疗的轨道内持续性动脉静脉:一个病例报告
Yuya Tanaka1, Nobuyuki Fukui1, Satohiro Kawade1
1Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
Journal of neuroendovascular therapy
|May 9, 2024
概括
超动脉栓塞 (TAE) 提供了一个可行的治疗器内持续性动脉静脉 (IO-dAVF) 的治疗方法. 从上层轨道裂 (ASOF) 的动脉进行栓塞成功地治疗了一名患者,而不会影响视力.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 阴道内长期动脉静脉 (IO-dAVF) 是一种罕见的疾病,需要个性化治疗.
- 对IO-dAVF的治疗选择可能很复杂,需要不同的方法.
- 超动脉栓塞 (TAE) 是一种潜在的治疗策略.
研究的目的:
- 报告一个成功的跨动脉栓塞 (TAE) 病例,用于内内硬性动脉静脉 (IO-dAVF).
- 突出IO-dAVF的替代栓塞策略,当直接眼动脉 (OphA) 栓塞带来风险时.
主要方法:
- 一名患有IO-dAVF的62岁男性接受了脑血管造影.
- 食动脉被确定为眼动脉 (OphA) 和上层轨道裂 (ASOF) 的动脉.
- 从ASOF使用Onyx 18通过从内动脉的微导管从ASOF进行了跨动脉栓塞 (TAE).
主要成果:
- 达到了成功的塞至至上眼静脉 (SOV).
- 截流完全消失,正常的OphA血流得到维持.
- 患者经历了改善的高血压和视力障碍,没有观察到并发症.
结论:
- 从外动脉系统 (特别是ASOF) 进行的跨动脉栓塞 (TAE) 可能是IO-dAVF的安全有效治疗方法.
- 这种方法可能比直接的OphA栓塞更好,当输血栓塞具有挑战性或具有更高风险时.
- 保持OphA流动对于预防IO-dAVF治疗中的视觉并发症至关重要.
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