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海绵窦区自发性硬脑膜动静脉瘘血管内治疗研究
引用本文:赵尚峰,王卫,梁熙虹,张家亮,孙思,宋贵东,康军. 海绵窦区自发性硬脑膜动静脉瘘血管内治疗研究[J]. 中国卒中杂志, 2021, 16(8): 828-833. DOI: 10.3969/j.issn.1673-5765.2021.08.013
作者姓名:赵尚峰  王卫  梁熙虹  张家亮  孙思  宋贵东  康军
作者单位:1北京 100730首都医科大学附属北京同仁医院神经外科2首都医科大学附属北京同仁医院放射科
基金项目:北京市医院管理中心“登峰”计划专项经费资助(DFL20190201)
摘    要:目的 探讨自发性海绵窦区硬脑膜动静脉瘘(cavernous sinus dural arteriovenous fistula,CSDAVF)的临床特点及血管内介入栓塞治疗的疗效.方法 回顾性分析2017年9月-2020年1月于首都医科大学附属北京同仁医院神经外科收治的经DSA检查确诊为自发性CSDAVF并行介入栓塞治...

关 键 词:海绵窦区  硬脑膜动静脉瘘  临床特点  介入栓塞治疗  预后
收稿时间:2021-02-15

Endovascular Therapy for Spontaneous Cavernous Sinus Dural Arteriovenous Fistula
ZHAO Shang-Feng,WANG Wei,LIANG Xi-Hong,ZHANG Jia-Liang,SUN Si,SONG Gui-Dong,KANG Jun. Endovascular Therapy for Spontaneous Cavernous Sinus Dural Arteriovenous Fistula[J]. Chinese Journal of Stroke, 2021, 16(8): 828-833. DOI: 10.3969/j.issn.1673-5765.2021.08.013
Authors:ZHAO Shang-Feng  WANG Wei  LIANG Xi-Hong  ZHANG Jia-Liang  SUN Si  SONG Gui-Dong  KANG Jun
Abstract:Objective To investigate the clinical characteristics of spontaneous cavernous sinus duralarteriovenous fistula (CSDAVF) and the efficacy of interventional embolization for CSDAVF.Methods From September 2017 to January 2020, the data of patients with CSDAVF diagnosedby DSA and treated with interventional embolization in Department of Neurosurgery of BeijingTongren Hospital were retrospectively analyzed. After DSA evaluation, the patients were embolizedthrough venous or arterial approach, with Onyx glue or combined with coils. The patients werefollowed up with DSA one year after the operation, and the degree of embolization and 1-yearprognosis of the two methods were compared.Results A total of 25 cases were included, with a median age of 40 years old (range: 21-72 yearsold). 6 patients (24.0%) were embolized with Onyx glue alone, and 19 patients (76.0%) withOnyx glue combined with coil. 17 cases were treated through venous approach, and 8 casesthrough arterial approach. DSA at the end of the procedure showed complete embolization in 12
Keywords:Cavernous sinus,Dural arteriovenous fistula,Clinical characteristics  Interventional embolization,Prognosis
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