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Onyx在颅内动静脉畸形栓塞治疗中的初步应用
引用本文:马骏,常义,刘宏毅,黄庆玖,何升学,赵鹏来.Onyx在颅内动静脉畸形栓塞治疗中的初步应用[J].临床神经外科杂志,2006,3(4):148-150.
作者姓名:马骏  常义  刘宏毅  黄庆玖  何升学  赵鹏来
作者单位:南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029
摘    要:目的总结Onyx在颅内动静脉畸形(AVM)栓塞治疗中的初步临床应用。方法应用Onyx对10例DSA确诊的颅内AVM进行栓塞治疗。AVM的直径在3~8cm,其中直径大于6cm的大型AVM6例。选用Ultraflow或Marathon微导管。每支供血动脉的注胶时间10~45min。结果栓塞结束时复查血管造影,畸形血管团闭塞30%~50%1例,50%~80%2例,80%~90%4例,90%以上3例。术毕1例患者将微导管留置体内。全部病例随访2~12月无再出血。结论应用Onyx栓塞AVM可以较长时间的注胶,娴熟掌握注胶技巧和控制返流能够提高AVM的栓塞疗效。

关 键 词:Onyx  颅内动静脉畸形  栓塞
文章编号:1672-7770(2006)04-0148-03
收稿时间:2006-08-12
修稿时间:2006-09-30

Preliminary study on embolization of cerebral arteriovenous malformations with Onyx
MA Jun, CHANG Yi , LIU Hong-yi,et al..Preliminary study on embolization of cerebral arteriovenous malformations with Onyx[J].Journal of Clinical Neurosurgery,2006,3(4):148-150.
Authors:MA Jun  CHANG Yi  LIU Hong-yi  
Institution:MA Jun, CHANG Yi , LIU Hong-yi, et al.
Abstract:Objective To summarize preliminary experience of embolization with Onyx in cerebral arteriovenous malformations.Methods 10 cases of cerebral arteriovenous malformations were embolized with Onyx. The diameter of the nidus was 3~8 cm, and more than 6cm in 6 cases. The microcatheter is Ultraflow or Marathon. The average injection time was 10~45 minutes. Results More than 90% nidus were occluded in 3 cases, 80%~90% in 4 cases, 50%~80% in 2 cases and 30%~50% in 1 caes. After embolization, microcatheter was detained in 1 case. Follow up for 2~12 months, no intracranial hemorrhage was observed. Conclusions Onyx contributes to increasing the embolizing effect of cerebral arteriovenous malformations by a long-time injection and a backflow controlling technique.
Keywords:Onyx  cerebral arteriovenous malformations  embolization
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