经动脉途径应用Onyx栓塞治疗复杂硬脑膜动静脉瘘

目的：探讨经动脉途径应用Onyx栓塞治疗复杂硬脑膜动静脉瘘的可行性。方法：2006年6月-2009年10月应用Onyx经动脉途径栓塞治疗复杂硬脑膜动静脉瘘11例,回顾分析其临床资料及随访结果。结果：11例患者共经15次栓塞,栓塞结束时解剖治愈率81.8%（9/11）,治疗后神经功能缺失9%（1/11）,无致残及死亡。其中8例3-6个月接受DSA随访,1例复发。结论：经动脉途径应用Onyx栓塞治疗复杂硬脑膜动静脉瘘,可获得高的即时解剖治愈率而伴随的临床并发症发生机会低,因而是安全、可行的。

Embolization of complicated dural arteriovenous fistulas via artery route with Onyx

Objective：To evaluate the feasibility of treating complicated dural arteriovenous fistulas via artery route with Onyx.Methods：11 cases with complicated dural arteriovenous fistulas treated by embolization with Onyx from Jun 2006 to Oct 2009 were followed up and retrospectively analyzed.Results：15 embolizations were performed in the 11 patients.The anatomical cure rate was 81.8%（9/11） and neurological deficit was 9%（1/11）,respectively.No disability or death occurred in this group.During the 3 to 6 months following-up of 8 patients,1 case recurred.Conclusion：Embolization with Onyx via artery route had been proved to be reliable and feasible in treating complicated dural arteriovenous fistulas,which has a higher cure rate and lower complication rate.