颈内动脉系统血管内治疗技术的临床探讨

目的 探讨颈内动脉系统血管内治疗技术与效果。方法 采用股动脉入路、颈内动脉选择性插管的方法，行脑癌区域性化疗5例、CCF栓塞治疗6例共14次。治疗前先行全脑血管造影，CCF加行压颈功能试验。结果 14例次颈内动脉介入操作技术成功率为100％，无任何严重并发症；所有患治疗后均症状缓解或消失。脑癌介入化疗后均有瘤体缩小和瘤周水肿减轻改变。6例CCF球囊栓塞后5例达到影像学痊愈且保持了人动脉通畅；1例瘘口巨大同时闭塞了颈内动脉。结论 颈内动脉介入性脑癌化疗及CCF闭塞术较为安全、有效。

Study of interventional endovascular therapy on the internal carotid arteries

Purpose Subject To probe the techniques and effects of interventional endovascular therapy in internal carotid arteries. Methods Fourteen endovascular therapy procedures were applied in 11 cases with malignant cerebral tumors(n = 5)or with carotidcavernous fistula(CCF, n = 6) . Seldinger technique was accepted in all catheterization manipulations via the femoral artey. Cerebral angiography at least on three brain arteries was first done in all cases, and with compression test in CCF cases. Results The technical success rate of interventional procedures by the intenal carotid arteries was 100% ,and without any serious complications. The clinical symptoms were obviously relieved in all cases after treatment. Five cases of tumors were lessened and surrounding cerebral edemas were mitigated after local chemotherapy. Five of six CCF was completely occluded after embolization by detachable balloon, and the internal carotid artery was embolized in the other one larger opening of fistula. Conclusion the detachable balloon technique and internal carotid arterial chemotherapy are effective and safe for treatment of carotid - cavernous fistula and malignant cerebral tumors.