静脉鼻分离器内血管干预后的临床表现和患者结果:一个单一中心的经验
Erin N Walker1, Jaskeerat Gujral2, Om Gandhi2
1University of South Carolina School of Medicine Greenville, 607 Grove Rd, Greenville, SC 29606, USA.
概括
静脉分流器,静脉鼻壁中的外囊,可以引起脉动性耳. 使用支架和线圈进行的内血管治疗是一种安全有效的治疗方法,特别是在横侧或西格 sinus 的患者.
科学领域:
- 神经科学是一个神经科学.
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 静脉分流器是静脉鼻壁的罕见异常,在西格状鼻有23%的患病率.
- 它们可以发生在横侧鼻腔和喉球,通常与头骨底部骨脱光有关.
- 有症状的静脉分流器可以导致衰弱的脉动性耳,需要治疗.
研究的目的:
- 审查确诊的静脉鼻分离器的病例.
- 评估分流体的特征,程序细节和内血管治疗的结果.
- 为了确定脱色,横向性,呈现症状和治疗方式的患病率.
主要方法:
- 对23例患者病例的回顾性审查,确认了静脉鼻分离器.
- 描述性和统计分析分泌管的特征,程序细节和患者的结果.
- 评估脱发病的发生率,分管的横向性,主要症状和治疗方法.
主要成果:
- 在69.6%的患者中发生横向/标状分离器,而球分离器发生在30.4%的患者中.
- 横向/标质鼻分离器 (60.9%) 与球球分离器 (52.2%) 相比,完全症状消失的可能性更高.
- 使用可拆卸线圈的支架辅助线圈用于所有治疗,没有术后并发症.
结论:
- 静脉分流器更有可能发生在主导静脉鼻中,并且对内血管治疗有很好的反应.
- 治疗特别有效的是横侧或半侧鼻中的分流器,特别是骨或狭窄的骨.
- 支架辅助卷轴是一种安全可靠的方法,用于治疗有症状的静脉鼻分离器.
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