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覆膜支架治疗完全盗血型颈动脉海绵窦瘘
引用本文:张小军,王如密,王守森. 覆膜支架治疗完全盗血型颈动脉海绵窦瘘[J]. 中国临床神经外科杂志, 2010, 15(3): 129-131. DOI: 10.3969/j.issn.1009-153X.2010.03.001
作者姓名:张小军  王如密  王守森
作者单位:南京军区福州总医院神经外科,福州,350025
摘    要:
目的探讨覆膜支架用于血管内治疗完全盗血型颈动脉海绵窦瘘(CCF)的效果。方法自2008年7月至2009年5月,应用覆膜支架对6例完全盗血型CCF进行血管内治疗。结果5例患者覆膜支架均成功释放于瘘口处,瘘口消除并保持颈内动脉通畅,1例因颈内动脉海绵窦段过度迂曲无法到达理想位置。全组无手术相关并发症发生。术后3个月时,4例患者获脑血管造影随访,显示颈内动脉通畅,但1例患者颈外动脉海绵窦瘘较术后即刻更加明显。结论对于完全盗血型CCF,覆膜支架血管内治疗是其可供选择的有效治疗方法之一。

关 键 词:覆膜支架  颈动脉海绵窦瘘  血管内治疗

Treatment of complete steal traumatic carotid-cavernous fistulae with covered stent graft (a report of 6 cases)
ZHANG Xiao-jun,WANG Ru-mi,WANG Shou-sen. Treatment of complete steal traumatic carotid-cavernous fistulae with covered stent graft (a report of 6 cases)[J]. Chinese Journal of Clinical Neurosurgery, 2010, 15(3): 129-131. DOI: 10.3969/j.issn.1009-153X.2010.03.001
Authors:ZHANG Xiao-jun  WANG Ru-mi  WANG Shou-sen
Affiliation:ZHANG Xiao-jun,WANG Ru-mi,WANG Shou-sen. Department of Neurosurgery,Fuzhou General Hospital,Nanjing Comm,,PLA,Fuzhou 350025,China
Abstract:
Objective To evaluate the curative effect of the covered stent graft on complete steal carotid cavernous fistulae (CSCCF). Method The covered stents were endovascularly grafted in 6 patients with CSCCF. Results The stent were successfully deployed in the target arteries in 5 cases, leading to total obliteration of the fistulae and the keeping the internal carotid arteries unobstructed. The stent could not reach the desired site in 1 case because of the vascular tortousity. No procedure-related complications...
Keywords:Covered stent  Carotid cavernous fistula  Endovascular treatment  
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