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Onyx-34治疗颅内动-静脉畸形和硬脑膜动-静脉瘘(附13例报告)
引用本文:冷冰,宋冬雷. Onyx-34治疗颅内动-静脉畸形和硬脑膜动-静脉瘘(附13例报告)[J]. 中国临床神经科学, 2007, 15(3): 270-273
作者姓名:冷冰  宋冬雷
作者单位:1. 复旦大学附属华山医院神经外科,上海市神经外科临床医学中心
2. 复旦大学上海医学院神经外科学系,200032
摘    要:目的:通过13例颅内动-静脉畸形(AVM)和硬脑膜动-静脉瘘(DAVF)的Onyx-34治疗,介绍一种新型栓塞材料的使用方法。方法:颅内AVM和DAVF患者13例,其中高流量AVM6例,DAVF7例。13例中10例直接应用Onyx-34治疗,3例由于血流量过大首先放置弹簧圈控制血流后再注射Onyx-34。结果:13例中无死亡及治疗引起的并发症。6例AVM患者中一次性影像学栓塞率为100%(4例);1例达98%;1例为50%,但血流量得到控制,残余部分行γ-刀治疗;7例DAVF均为一次性治愈。DAVF的Onyx-34一次注射量平均为0.5mL,AVM的Onyx-34一次注射量平均为2.2mL。结论:Onyx-34适用于颅内AVM和DAVF的治疗。

关 键 词:动-静脉畸形  硬脑膜动-静脉瘘  栓塞Onyx-34
文章编号:1008-0678(2007)03-0270-04
修稿时间:2007-02-16

Embolizing Arteriovenous Malformation or Dural Arteriovenous Fistular with Onyx-34 (13 Cases Report)
LENG Bing,SONG Dong-Lei. Embolizing Arteriovenous Malformation or Dural Arteriovenous Fistular with Onyx-34 (13 Cases Report)[J]. Chinese Journal of Clinical Neurosciences, 2007, 15(3): 270-273
Authors:LENG Bing  SONG Dong-Lei
Abstract:Aim:To introduce the experience of embolized arteriovenous malformation (AVM) or dural arteriovenous fistular (DAVF) with Onyx-34 for 13 cases. Methods: Of 13 cases from AVM or DAVF, 6 cases were AVM and 7 cases DAVF. 10 cases were embolized with Onyx-34 only and 3 cases Onyx-34 combined with coils. Results:13 cases had no complications due to the embolization with Onyx-34. 6 of 13 cases from AVM,the ratio of embolization was 100% with Onyx-34 for 5 cases from AVM. 7 cases suffered from DAVF were cured by embolization with Onyx-34. The time of injecting Onyx-34 was 54 seconds average. The quantity of Onyx-34 for AVM is 2.2ml average and 0.5ml average for DAVF respectively. Conclusion: Onyx-34 is one of better embolizing materials for AVM or DAVF.
Keywords:arteriovenous malformation  dural arteriovenous fistular  embolization  Onyx-34
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