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应用Onyx液态栓塞剂治疗脑动静脉畸形的探讨
引用本文:喻博,高连波,刘云会,刁宏宇,潘蔚然,桑猛,王成林.应用Onyx液态栓塞剂治疗脑动静脉畸形的探讨[J].中华神经外科杂志,2006,22(6):358-360.
作者姓名:喻博  高连波  刘云会  刁宏宇  潘蔚然  桑猛  王成林
作者单位:1. 110004,沈阳,中国医科大学附属第二医院神经外科
2. 辽宁省血栓病中西医结合医疗中心神经介入科
摘    要:目的 探讨应用Onyx液态栓塞剂栓塞治疗脑动静脉畸形及其综合治疗。方法 采用Onyx对19例脑动静脉畸形进行血管内栓塞治疗,1例因有高流量的脑动静脉畸形而先应用可脱性弹簧圈将血流减速再应用Onyx液态栓塞剂栓塞,平均注胶时间30min。结果 95%栓塞2例;70%以上8例;30%~70%9例。并发症术后出血2例,微导管留置体内1例。结论 Onyx栓塞脑动静脉畸形好的弥散性和注胶可控性强,结合放疗有助于提高脑动静脉畸形的治疗效果。

关 键 词:脑动静脉畸形  Onyx
收稿时间:2005-08-22
修稿时间:2006-05-24

Investigation of the treatment of brain arteriovenous malformation with Onyx
YU Bo, GAO Lian-bo, LIU Yun-hui,et al..Investigation of the treatment of brain arteriovenous malformation with Onyx[J].Chinese Journal of Neurosurgery,2006,22(6):358-360.
Authors:YU Bo  GAO Lian-bo  LIU Yun-hui  
Institution:Department of Neurosurgery, the Second Affiliated Hospital, China medical University, shenyang 110004, China
Abstract:Objective To investigate the application of Onyx in the treatment of brain arteriovenous malformations (BAVMs) and the combined therapy of BAVMs.Methods 19 cases of cerebral BAVMs were embolized with Onyx.In one high flow BAVM,before using Onyx,we make use of coils to slow down the flow.The average injection time was 30 minutes.Results In 2 cases,more than 95% nidus were occluded;in 8 cases more than 70% nidus were occluded and in 9 cases Jess than 70% were occluded. Hemorrhagic complication was observed in 2 cases and microcatheter was preserved in 1 case.Conclusions Onyx has the advantage of penetration and controllability.Combining radiotherapy with endovascular therapy may enhance the therapeutic effect of BAVMs.
Keywords:Brain arteriovenous malformation  Onyx
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