在患有脉动性耳的患者中,治疗sigmoid sinus diverticulum的内血管治疗
Mohamad Abdalkader1, Piers Klein1, Bindu Setty1
1Department of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
概括
血管内治疗有效地解决了Sigmoid鼻分离器患者的脉动性耳. 解决横侧缩是关键的,单独的支架显示出与支架辅助卷轴相似的成功.
科学领域:
- 血管外科 血管外科
- 干预性神经辐射学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 西格鼻分泌管 (SSD) 是脉动性耳 (PT) 的常见原因之一.
- 与SSD相关的PT的病原发生和最佳管理需要进一步调查.
- 本研究侧重于PT患者内血管治疗策略和SSD的结果.
研究的目的:
- 审查和比较导致PT的SSD的内血管管理策略.
- 评估不同内血管方法在解决PT.的结果.
- 分析SSD,横侧鼻狭窄症和异常性内高血压之间的关系.
主要方法:
- 对23名耐火PT和SSD患者进行了回顾性审查,这些患者接受了内血管治疗 (2020年9月 - 2024年1月).
- 分析临床特征,放射学发现 (管类型,尺寸,狭窄,脱落,IIH) 和内血管技术 (支架,线圈).
- 结果在治疗后24小时,3个月,1年后进行评估.
主要成果:
- 已经发现了26个SSD;76.9%是状,23.1%是状. 所有病例都有横侧鼻狭窄 (中位梯度为8mmHg).
- 异形性内高血压 (65.4%) 和西格壁脱 (84.6%) 是常见的并发症.
- 在3个月后,在88.5%的病例中实现了完整的PT解脱;单独支架 (53.8%),支架辅助卷轴 (34.6%) 或单独卷轴 (11.5%) 之间没有显著差异.
结论:
- 血管内治疗是一种安全有效的选择,可以在SSD患者中解决PT.
- 治疗相关的横侧鼻狭窄症似乎对症状的解决至关重要.
- 单独使用支架证明了与支架辅助卷轴相比的效果,这表明直接的分离器治疗可能并不总是必要的.
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