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血管内治疗复杂性、难治性颈内动脉海绵窦瘘(附16例报告)

Endovascular embolization of complicated and difficult treated carotid cavernous fistula

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【作者】 黄正松戴钦舜刘相轸江涛陈会荣杨遇春刘恩重

【Author】 Zhengsong Hang; Qinshun Dai; Xiangzhen Lin;et al

【机构】 哈尔滨医科大学第一附属医院神经外科

【摘要】 16例外伤性颈内动脉海绵窦瘘(CCF)中有14例属于难治性复杂性CCF,其中10例采用可脱性球囊栓塞治疗,5例用自制钨丝微弹簧圈栓塞治疗,1例采用上述两法治疗,14例保留病侧颈内动脉。所有病例均完全被栓塞而治愈。自制钨丝微弹簧圈是一种新型的血管内栓塞材料,有明显促进血栓形成作用,其效果明显优于可脱性球囊。

【Abstract】 Abstract Between Feb.1992 and Aug.1994, we used self-made tungsten microcoils and detachable balloons in endovascular embolization of traumatic CCFs in 16 patients. Among them,14 cases are belong to complicated and difficult treatment; 10 cases were embolized with detachable balloons, 5 were treated with self-made microcoils and 1 was embolized with combineding balloons and microcoisl. In 14 cases, CCF were completely occluted and the ICA were preserved (87.5%). In 2 patients, the ICA were sacrificed. All CCFs of 16 cases were totally embolized, no complication and death. The authous suggest that self-made tungsten microcoil is a relatively ideal embolic agent for endovascular treatment of CCF, especially for that of complicated and difficult treated CCFs with detachable balloons.

  • 【文献出处】 中风与神经疾病杂志 ,JOURNAL OF APOPLEXY AND NERVOUS DISEASES , 编辑部邮箱 ,1994年06期
  • 【分类号】R743.4
  • 【被引频次】4
  • 【下载频次】25
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