利用上升的喉动脉用于体栓塞在头骨的持续性动脉静脉囊:一个回顾性分析
Hye Won Choi1, Tae Keun Jee1, Young Woon Lee2
1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Korean Neurosurgical Society
|April 28, 2025
概括
通过上升门动脉 (APA) 进行长期动脉静脉 (dAVFs) 的跨动脉栓塞 (TAE) 是一种可行的但有限的治疗选择. 仔细的病例选择和对APA解剖学的理解对于成功的结果和尽量减少并发症至关重要.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
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.
- 跨动脉栓塞 (TAE) 是对dAVFs的常见内血管治疗方法.
- 上升的喉动脉 (APA) 可以作为TAE的通道.
研究的目的:
- 使用APA评估TAE对DAVF的疗效和安全性.
- 具体通过APA路线评估栓塞的结果.
主要方法:
- 通过APA对通过DAVF接受TAE的11名患者的回顾性分析.
- 收集的数据包括从2009年1月到2021年4月的医疗记录和放射学发现.
- 奥尼克斯被用作栓塞剂.
主要成果:
- 在45%的病例中 (5/11) 实现了完全的闭塞.
- 3 (27%) 个病例显示残留的分流,但皮质静脉反流已经消失.
- 2例 (18%) 患有脑神经麻,部分改善.
- 没有观察到新的心脏病发作或出血.
结论:
- 通过APA的TAE是一种有限的选择,最适合复杂的案例或其他路线具有高风险.
- 通过特定的APA分支 (关,下) 进行栓塞需要谨慎.
- 血管图学理解是患者选择和对APA-TAE风险评估的关键.
更多相关视频
相关概念视频
Arteries of the Head and Neck
836
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
836
The Arch of Aorta
460
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
460


