治疗脊柱外围动脉静脉的一个替代方法:直接穿孔的案例报告
Bora Chung1, Jieun Roh1, Su Hun Lee2
1Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
Neurointervention
|June 5, 2025
概括
一种新的穿皮栓塞技术成功地治疗了复杂的脊髓外周动脉静脉囊 (SEDAVF),当传统方法失败时. 这种方法为挑战血管形提供了可行的替代方案.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 脊柱外周动脉静脉 (SEDAVF) 是一种罕见的血管形,导致神经缺陷.
- 由于复杂的血管解剖学,传统的跨动脉栓塞可能具有挑战性.
研究的目的:
- 介绍一个SEDAVF病例,该病例用皮肤穿透栓塞技术治疗.
- 为了评估形光束计算机断层扫描血管学 (CBCTA) 引导皮肤穿透栓塞对SEDAVF的疗效.
主要方法:
- 一名患有L2 SEDAVF和静脉内流的患者经历了失败的跨动脉栓塞.
- 在CBCTA的指导下,通过皮肤穿刺外周静脉囊进行了第二次栓塞.
主要成果:
- 实现了脊柱外周动脉静脉囊的完全消灭.
- 在手术后观察到静脉拥堵的解决和显著的症状改善.
结论:
- 穿皮栓塞是一种有价值的替代SEDAVFs当内血管方法是不可行的.
- 在复杂的情况下,CBCTA对于精确的导航和成功的栓塞至关重要.
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