共查询到20条相似文献,搜索用时 15 毫秒
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W R Casta?eda-Zu?iga M Lehnert P H Nath C Zollikofer G Velasquez K Amplatz 《Radiology》1979,132(3):599-602
Two cases of percutaneous transfemoral embolization of facial hemangiomas and arteriovenous (AV) malformations are reported. In both cases, Ivalon shavings were injected through a percutaneously placed catheter to permanently occlude peripheral feeders of the AV malformation. In one case, because of the size of the large venous sacs associated with the malformation, a steel coil was introduced to form a baffle, over which several additional strands of surgical silk were introduced to obliterate these sacs. These cases emphasize the need for embolization of small feeding arteries to prevent recurrence by collateral channels. To achieve this, specific-sized emboli are necessary; Ivalon is a suitable embolic material. 相似文献
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M. Cellerini M. Mascalchi S. Mangiafico G. P. Ferrito V. Scardigli G. Pellicanò N. Quilici 《Neuroradiology》1999,41(7):487-492
MRI and phase-contrast MR angiography (PC MRA) were obtained in 13 patients with angiographically confirmed intracranial
dural arteriovenous fistulae (DAVF). Three- and two-dimensional PC MRA was obtained with low (6–20 cm/s) and high (> 40 cm/s)
velocity encoding along the three main body axes. MRI showed focal or diffuse signal abnormalities in the brain parenchyma
in six patients, dilated cortical veins in seven, venous pouches in four with type IV DAVF and enlargement of the superior
ophthalmic vein in three patients with DAVF of the cavernous sinus. However, it showed none of the fistula sites and did not
allow reliable identification of feeding arteries. 3D PC MRA enabled identification of the fistula and enlarged feeding arteries
in six cases each. Stenosis or occlusion of the dural sinuses was detected in six of eight cases on 3D PC MRA with low velocity
encoding. In six patients with type II DAVF phase reconstruction of 2D PC MRA demonstrated flow reversal in the dural sinuses
or superior ophthalmic vein.
Received: 14 May 1998 Accepted: 15 December 1998 相似文献
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Embolisation of spinal dural arteriovenous fistulae with Onyx 总被引:15,自引:0,他引:15
Surgery is currently the standard treatment for spinal dural arteriovenous fistulae (DAVF). Endovascular embolisation of these lesions using N-butyl cyanoacrylate (NBCA) has a high success rate. Onyx is a new liquid embolic agent whose viscosity makes it suitable for treatment of spinal DAVF where penetration into the proximal radicular vein is required. It is delivered with greater control than NBCA without the necessity for rapid withdrawal of the catheter and may therefore overcome some of the drawbacks of NBCA. We report two patients who underwent Onyx embolisation of spinal DAVF; to our knowledge this is the first such report. 相似文献
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US-Doppler has recently gained attention as a noninvasive method for the functional evaluation of arteriovenous fistulas (FAV). Twenty patients with well-functioning FAV were studied, and the results compared with those from a control group of 10 healthy subjects. Time average velocity (TAV) was calculated as hemodialysis parameter, together with telesystolic (Vts) and telediastolic (Vtd) velocities, absolute (F) and normalized (FN) fluxes to the area unit (cm2 1) and resistance index (IR). All of them proved to be statistically significant indexes of FAV functionality. Doppler has thus proved to be a valuable means both to calculate FAV capacity in a patient and to establish FAV functionality. Four parameters are recommended: FN greater than 2000 ml/min/cm2; IR less than 0.05; TAV greater than 50 cm/s: and Vtd greater than 35 cm/s. 相似文献
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W du Mesnil de Rochemont R Heber J Alemany P van Smekal 《R?ntgen-Bl?tter; Zeitschrift für R?ntgen-Technik und medizinisch-wissenschaftliche Photographie》1975,28(11):526-537
In two patients with femoral arterio-venous fistulae angiography could show arterial and venous collaterals with differing circulation phases. When angiography shows retrograde flow in the artery distal to the fistula, the volume of arterial collateral circulation is unrelated to the peripheral blood-supply. Venous collateral circulation has to be included in the fistular circulation. Angiography permits distinguishing a venous by-pass circulation for the return of blood from the periphery. In one patient a large aneurysm of the iliac vein was found. Special features of angiography, particularly after surgical closure of the fistula, are mentioned. 相似文献
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Song JK Gobin YP Duckwiler GR Murayama Y Frazee JG Martin NA Viñuela F 《AJNR. American journal of neuroradiology》2001,22(1):40-47
BACKGROUND AND PURPOSE: Because they are not well established, we investigated the technical success and recurrence rates of n-butyl 2-cyanoacrylate (NBCA) embolization of spinal dural arteriovenous fistulae (SDAVF), and assessed clinical outcomes. METHODS: We retrospectively studied all patients with SDAVF treated by NBCA embolization at our institution over an 8-year period. Gait and micturition disabilities were analyzed. Follow-up periods averaged 3.1 years (range, 1 month to 8.9 years). RESULTS: NBCA embolization was feasible in 74% (20/27) of patients. Of 20 patients who underwent embolization, initial embolization failure occurred in two (10%) and fistula occurrence in three (15%). All five patients in whom NBCA embolization failed underwent surgery. All patients who underwent embolization had either improved (55%) or unchanged (45%) gait disability at last follow-up. Seventeen (85%) patients had improved (40%) or unchanged (45%) micturition disability, but three (15%) had worsened. Mean Aminoff gait disability grade significantly decreased at last follow-up (2.4 [1.4] average [SD] vs 3.2 [1.4] [P = .0008]). Mean micturition disability grade decreased, but not significantly (1.4 [1.0] vs 1.7 [1.1] [P = .28]). CONCLUSION: NBCA embolization of SDAVF was technically feasible in 75% of patients. Initial apparent successful embolization was achieved in 90%; the fistula recurrence rate (failure to occlude the draining vein) for NBCA was 15%. Comparing favorably to surgical series, NBCA embolization of SDAVF appears efficacious, significantly improving mean gait disability by almost one grade at last follow-up. Close clinical and angiographic surveillance is mandatory. Longer and more uniform follow-up is needed to determine if clinical improvement and stabilization after NBCA embolization are sustained. 相似文献
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Endovascular therapy of arteriovenous fistulae with electrolytically detachable coils 总被引:5,自引:2,他引:3
Jansen O Dörfler A Forsting M Hartmann M von Kummer R Tronnier V Sartor K 《Neuroradiology》1999,41(12):951-957
We report our experience in using Guglielmi electrolytically detachable coils (GDC) alone or in combination with other materials
in the treatment of intracranial or cervical high-flow fistulae. We treated 14 patients with arteriovenous fistulae on brain-supplying
vessels – three involving the external carotid or the vertebral artery, five the cavernous sinus and six the dural sinuses
– by endovascular occlusion using electrolytically detachable platinum coils. The fistula was caused by trauma in six cases.
In one case Ehlers-Danlos syndrome was the underlying disease, and in the remaining seven cases no aetiology could be found.
Fistulae of the external carotid and vertebral arteries and caroticocavernous fistulae were reached via the transarterial
route, while in all dural fistulae a combined transarterial-transvenous approach was chosen. All fistulae were treated using
electrolytically detachable coils. While small fistulae could be occluded with electrolytically detachable coils alone, large
fistulae were treated by using coils to build a stable basket for other types of coil or balloons. In 11 of the 14 patients,
endovascular treatment resulted in complete occlusion of the fistula; in the remaining three occlusion was subtotal. Symptoms
and signs were completely abolished by this treatment in 12 patients and reduced in 2. On clinical and neuroradiological follow-up
(mean 16 months) no reappearance of symptoms was recorded.
Received: 17 March 1999 Accepted: 27 April 1999 相似文献
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B M Lantz J W Holcroft J M Foerster D P Link M H Reid 《Acta radiologica: diagnosis》1979,20(5):727-736
A videodensitometric method for estimating relative flow was employed in a patient with a bovine arteriovenous fistula. Analogous arteriovenous communications of different sizes were created in two dogs for comparison. Local and general hemodynamic parameters were measured. The videodensitometric method proved to be highly accurate compared to electromagnetic flow readings and is the method of choice in estimating shunt flow in connection with routine angiography. 相似文献
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K Ishii K Goto K Ihara G B Hieshima V V Halbach J R Bentson T Shirouzu A Fukumura 《AJNR. American journal of neuroradiology》1987,8(6):1113-1120
Dural arteriovenous fistulae of the transverse and sigmoid sinuses are highly variable in symptomatology and prognosis. However, we have identified a subgroup of patients who have a high risk of hemorrhage and dementia due to severe venous overload caused by high arterial flow into the fistulae and by occlusive changes of the transverse and sigmoid sinuses. Three representative cases selected from 31 patients with dural arteriovenous fistulae of the transverse and sigmoid sinuses are presented, and 45 reported similar cases are reviewed to discuss pathophysiology and problems encountered during treatment. 相似文献
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Yutaka Kai Koichi Ito Tatsuya Kinjo Youhei Hokama Hideki Nagamine Sukemitsu Kushi Shigemasa Kinjo Yukihiro Tsuchida Kouichi Sugimoto Motohiro Morioka Shigetoshi Yano Yuki Ohmori Takayuki Kawano Hideo Nakamura Keishi Makino Jun-ichiro Hamada Jun-ichi Kuratsu Yoshihiko Yoshii 《Neuroradiology》2009,51(11):731-739
Introduction
Dural arteriovenous fistulae (DAVF) occasionally lead to cognitive disorders whose reversibility after DAVF treatment remains unclear. We studied changes on pre- and post-treatment magnetic resonance imaging (MRI) and single photon emission computed tomography (SPECT) scans in ten patients with cognitive disorder due to DAVF.Methods
We studied the symptoms, pre- and post-treatment MRI scans, SPECT findings, and mini-mental state examination (MMSE) and treatment results in ten patients with cognitive disorder due to DAVF. They were divided into two groups; the post-treatment MMSE score exceeded 25 points in group 1 (n?=?6) and was lower than 24 points in group 2 (n?=?4).Results
In the six group 1 patients, pretreatment diffusion-weighted images (DWI) showed hyperintense areas, and SPECT scans demonstrated the preservation of vasoreactivity after acetazolamide challenge. In the four group 2 patients, pretreatment SPECT demonstrated hypoperfusion areas that coincided with the hyperintense areas seen on DWI; there were areas with marked disturbance in vasoreactivity. The post-treatment MMSE score in groups 1 and 2 improved by 13.7?±?2.4 and 3.8?±?1.0 points, respectively; the difference was significant at p?<?0.01.Conclusion
In patients with cognitive disorder due to DAVF, the preservation of vasoreactivity on SPECT after acetazolamide challenge indicates that their cognitive disorder may be reversible by DAVF treatment. 相似文献18.
Intravenous digital vascular imaging was used to evaluate eight patients with suspected iatrogenic femoral arteriovenous fistulae. These followed either cardiac catheterization (seven) or pulmonary angiography (one). All cardiac catheterization patients had undergone simultaneous ipsilateral femoral artery and vein puncture, possibly contributing to the high incidence of arteriovenous fistulae in this group. Digital imaging studies in two patients were normal, confirmed by clinical follow-up without surgery. In six patients, digital vascular imaging correctly predicted the presence and relative size of the fistulae, as confirmed at surgery. Although the exact site could not be specified, it was correctly identified to within 4 cm. None of these patients required arteriography for further study of the lesion before surgical repair. 相似文献
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Multiple dural arteriovenous fistulae involving the cavernous and sphenoparietal sinuses 总被引:4,自引:0,他引:4
Watanabe T Matsumaru Y Sonobe M Asahi T Onitsuka K Sugita K Takahashi S Nose T 《Neuroradiology》2000,42(10):771-774
A 72-year-old woman who presented with a unilateral oculomotor nerve palsy was shown to have a very rare condition: multiple
dural arteriovenous fistulae (DAVF) involving the cavernous and sphenoparietal sinuses. The sphenoparietal DAVF was cured
completely by transarterial embolisation. Symptomatic relief was accomplished by this procedure. The cavernous sinus DAVF
progressed to acquire cortical venous drainage, and was obliterated completely by transvenous embolisation.
Received: 21 September 1999/Accepted: 3 February 2000 相似文献
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Dr. Jiří Endrys Bo Eklöf Peter Neglén Ivan Zýka Jan Peregrin 《Cardiovascular and interventional radiology》1989,12(4):226-229
We describe a percutaneous method of balloon occlusion of surgically created femoral arteriovenous fistulae (AVF) after thrombectomy
for acute iliofemoral venous thrombosis. The technique was successful in permanent obliteration of the AVF in 25 of 27 patients.
Complications were few, minor, and limited to the developmental period of the procedure, No patient required surgical intervention.
The procedure provides an opportunity to angiographically evaluate the results of previous thrombectomy 相似文献