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气球阻塞测试非鼻腔狭窄性静脉脉动性耳声:一系列技术案例

Aaron Daniel Brake¹, Sivani Lingam², Vince Galate³

¹The University of Iowa Hospitals and Clinics, Iowa, IA, USA.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|February 28, 2025

概括

静脉气球封闭测试 (vBOT) 有效地识别了由静脉异常引起的脉动性耳声 (PT) 的来源. 这种诊断方法指导了向治疗,导致在具有挑战性PT病例的患者中显著缓解症状.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

脉冲性耳声 (PT) 影响大约10%的人口,并且可能是令人虚弱的.
静脉病因越来越多地被认为是PT的原因.
在多种静脉异常中确定特定的症状血管在诊断上具有挑战性.

研究的目的:

评估静脉气球闭塞测试 (vBOT) 在非鼻腔静脉狭窄病例中识别症状血管的有用性.
评估vBOT在为PT指导向内血管干预的有效性.

主要方法:

一系列病例使用静脉气球封闭测试 (vBOT) 来实时诊断患有非鼻腔静脉狭窄PT的患者.
vBOT涉及光学指导和转换气球以遮静脉异常,并立即评估症状.
成功识别了罪祸首的血管,引导了随后的内血管线圈栓塞.

主要成果:

报告了四起涉及高骑球球,球球分离器和放大发射静脉的病例.
在所有报告的病例中,vBOT成功识别了症状血管.
由vBOT指导的内血管线圈栓塞导致所有患者的症状显著消失.

结论:

vBOT是准确识别非鼻腔狭窄静脉PT的症状血管的宝贵工具.
这种方法可以实现精确的,有针对性的内血管干预,改善患者的治疗结果.
考虑vBOT的局限性,如潜在的假阴性,对于全面的患者管理很重要.

关键词:

案件系列案件系列气球阻塞气球阻塞脉动性的耳声 (tinnitus).静脉图谱 (venography) 是一种静脉图谱.静脉干预是一种静脉干预.

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