一个洞穴性鼻持续性动脉静脉囊病例与持续的左上 vena cava 静脉
Hikaru Nakamura1,2, Yoichi Morofuji1, Kazuaki Okamura1
1Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Nagasaki, Japan.
Journal of neuroendovascular therapy
|February 4, 2025
概括
持续的左上静脉 (PLSVC) 是一种罕见的疾病,影响内血管治疗. 精心的手术前评估对于规划PLSVC患者安全有效的脑血管干预至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 神经内血管疗法 神经内血管疗法
背景情况:
- 持续的左上静脉 (PLSVC) 是一种罕见的先天性异常,影响0.3%-0.5%的人口.
- 这种异常可以通过改变静脉解剖学来复杂化内血管治疗 (EVT),特别是缺少左无名静脉,这是一个常见的通道.
研究的目的:
- 突出挑战,并提出一个成功的管理策略,以治疗患者的内血管治疗PLSVC.
- 强调手术前诊断评估的重要性,以便在进行脑血管干预之前识别PLSVC.
主要方法:
- 一个案例介绍了一名70岁的女性,她患有左洞腔鼻硬性动脉静脉.
- 最初计划通过右大腿静脉进行的透静脉栓塞 (TVE) 由于动脉内血管学显示PLSVC而改变.
- 通过左侧内静脉进行了成功的TVE,并进行了线圈栓塞.
主要成果:
- 通过左侧内静脉的TVE成功治疗了长期动脉静脉.
- 患者经历了神经突变的完全解消,并没有出现神经缺陷而出院.
- 虽然PLSVC通常无症状且偶然发现,但在脑血管EVT规划方面存在重大挑战.
结论:
- 术前脑血管造影对于识别PLSVC和确定最佳静脉通道至关重要.
- 对PLSVC的认识和仔细的规划对于成功和安全的脑血管病理的内血管治疗至关重要.
- 这一案例强调了在干预过程中识别和管理静脉异常时需要保持警.
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