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可脱性球囊介入治疗外伤性颈内动脉海绵窦瘘
引用本文:孙树清,季艳琴,贲智进,陈建,陈燕,孙美琴.可脱性球囊介入治疗外伤性颈内动脉海绵窦瘘[J].中华神经外科疾病研究杂志,2009,8(3):256-259.
作者姓名:孙树清  季艳琴  贲智进  陈建  陈燕  孙美琴
作者单位:南通大学附属医院神经外科,江苏,南通,226001
摘    要:目的探讨外伤性颈内动脉海绵窦瘘的临床特征及应用可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘的血管内介入治疗技术。方法10例外伤性颈内动脉海绵窦瘘患者常规行脑血管造影检查明确诊断,应用法国Bait公司产Magic.BDTE可脱性球囊,在数字减影监视下,施行可脱性球囊栓塞治疗。结果1次栓塞成功7例,2次栓塞成功2例,因并发症鼻腔出血死亡1例。结论可脱性球囊栓塞治疗是目前治疗外伤性颈内动脉海绵窦瘘的最好方法,其具有损伤小,安全性高和疗效可靠的特点。

关 键 词:外伤性颈内动脉海绵窦瘘  可脱性球囊  栓塞治疗

Embolization treatment with detachable balloon for traumatic internal carotid cavernous fistulas
SUN Shuqing,JI Yanqin,BEN Zhijin,CHEN Jian,CHEN Yon,SUN Meiqin.Embolization treatment with detachable balloon for traumatic internal carotid cavernous fistulas[J].Chinese Journal of Neurosurgical Disease Research,2009,8(3):256-259.
Authors:SUN Shuqing  JI Yanqin  BEN Zhijin  CHEN Jian  CHEN Yon  SUN Meiqin
Institution:(Department of Neurosurgery, Affiliated Hospital of Nantong University, Nantong 226001, China)
Abstract:Objective To evaluate clinical characteristics of traumatic internal carotid cavernous fistulas and embolization treatment technique for traumatic internal carotid cavernous fistulas (TCCF). Methods Magic-BD TE balloon catheters and labeled latex balloon were used for the embolization treatment of 10 cases of TCCF under DSA monitoring. Results Of 9 cases embolized successfully, there were 7 cases of embolization for once and 2 cases for twice and there was one death case because of bleeding. Conclusion Embolization therapy is an optimal choice for TCCF because of its micro-invasiveness and therapeutic effect.
Keywords:Traumatic internal carotid cavernous fistulas  Detachable balloon  Embolization therapy
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