| 经动脉栓塞治疗颈内动脉海绵窦瘘的疗效 |
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| 引用本文： | 刘善凯,刘一之,倪才方,陈珑,李波,李沛城.经动脉栓塞治疗颈内动脉海绵窦瘘的疗效[J].中国介入影像与治疗学,2015,12(11):653-656. |
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| 作者姓名： | 刘善凯 刘一之 倪才方 陈珑 李波 李沛城 |
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| 作者单位： | 苏州大学附属第一医院介入科, 江苏 苏州 215006,苏州大学附属第一医院介入科, 江苏 苏州 215006,苏州大学附属第一医院介入科, 江苏 苏州 215006,苏州大学附属第一医院介入科, 江苏 苏州 215006,苏州大学附属第一医院介入科, 江苏 苏州 215006,苏州大学附属第一医院介入科, 江苏 苏州 215006 |
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| 摘 要： | 目的分析颈内动脉海绵窦瘘患者经动脉栓塞治疗的疗效。方法回顾性分析我院经动脉栓塞治疗的52例颈内动脉海绵窦瘘患者资料,分析其治疗的成功率、复发率及并发症,并随访其短期及长期疗效。结果 52例患者中,48例(48/52,92.31%)栓塞成功,4例栓塞失败后行外科手术治疗。48例栓塞成功患者中,41例(41/48,85.42%)成功闭塞瘘口且保持颈内动脉通畅。4例(4/52,7.69%)术后复发,分别经压颈、球囊、液态胶栓塞及闭塞颈动脉的方法治疗成功。44例无复发患者短期内所有患者眼部症状缓解,长期随访中无复发病例。结论经动脉栓塞治疗颈内动脉海绵窦瘘成功率高、复发率低,并发症少。可脱球囊栓塞为其首选方法,辅以弹簧圈、液态胶栓塞,其短期及长期疗效均可肯定。
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| 关 键 词： | 颈动脉 内 瘘 球囊栓塞 栓塞 治疗性 |
| 收稿时间： | 2015/8/11 0:00:00 |
| 修稿时间： | 2015/9/23 0:00:00 |
Efficacy of transarterial embolization for carotid-cavernous fistulas |
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| LIU Shan-kai,LIU Yi-zhi,NI Cai-fang,CHEN Long,LI Bo and LI Pei-cheng.Efficacy of transarterial embolization for carotid-cavernous fistulas[J].Chinese Journal of Interventional Imaging and Therapy,2015,12(11):653-656. |
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| Authors: | LIU Shan-kai LIU Yi-zhi NI Cai-fang CHEN Long LI Bo and LI Pei-cheng |
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| Institution: | Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China,Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China,Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China,Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China,Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China and Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China |
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| Abstract: | Objective To analyze the efficacy after transarterial embolization for carotid-cavernous fistulas (CCFs).Methods A total of 52 cases with CCFs underwent transarterial embolization were collected. The success rate, recurrence rate, complication, and short term and long term efficacy followed-up were retrospectively analyzed.Results Forty-eight (48/52, 92.31%) of the 52 cases got successful transarterial embolization, and 4 cases failed followed by surgical treatment. Among the 48 cases, 41 cases (41/48, 85.42%) had completely occluded fistulas, four cases (4/52, 7.69%) recurred after treatment, who were cured again successfully with colis and liquid glue. In all cases, eye symptoms had relieved in the short term, and no CCFs recurred in the long term.Conclusion The transarterial embolization for CCFs has the advantages of high success rate, low recurrence rate and less complications. The detachable balloon as the first choice to treat CCFs, added by colis and liquid glue, has a definite efficacy in the short and long term. |
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| Keywords: | Carotid artery internal Fistula Balloon occlusion Embolization therapeutic |
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