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Onyx栓塞治疗脑动静脉畸形

Embolization of brain arteriovenous malformations with Onyx

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【作者】 姚瑞红赵卫胡继红姜永能罗罡易根发

【Author】 YAO Rui-hong,ZHAO Wei,HU Ji-hong,JIANG Yong-neng,LUO Gang,YI Gen-fa Imaging center of the first affilicated hospital of Kunming medical college

【机构】 昆明医学院第一附属医院影像中心

【摘要】 探讨Onyx栓塞治疗脑动静脉畸形的方法及疗效。方法采用Seldinger技术经股动脉行全脑血管动脉造影,明确畸形血管团后,采用Marathon漂浮导管超选择进入畸形血管团内,使用Onyx对7例脑动静脉畸形进行栓塞。结果5例畸形血管团栓塞体积达50%~60%,50%以下2例,所有患者都进行了有效的栓塞,无1例出现并发症。结论Onyx是目前较理想的治疗脑动静脉畸形的栓塞材料,栓塞效果确切,但操作要谨慎,尽量减少并发症的发生。

【Abstract】 Objective:To evaluate the method and clinical efficacy of embolization therapy for cerebral arteriovenous malformations(AVMs)with Onyx.Methods:all the 7 patients underwent cranial artery subtraction angiography and the supplying vessels to AVMs were identified.Marathon floating microcatheter was inserted into nidus of AVMs,then onyx was injected to it.Results:Effective embolization was achieved in all 7cases,50%~60% emboliazation in 5 cases,less than 50% embolization in 2 cases.No severe complication occured in all the cases.Conclusion:Onyx is the ideal embolism to AVMs and the clinical efficacy is definit.The operation should be careful to minimize the complication.

  • 【文献出处】 当代医学 ,Contemporary Medicine , 编辑部邮箱 ,2009年05期
  • 【分类号】R743.4
  • 【被引频次】3
  • 【下载频次】71
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