经静脉对眼部症状严重的硬脑膜动静脉瘘栓塞治疗

目的探讨伴有严重眼部症状的硬脑膜动静脉瘘(DAVF)的栓塞方法和疗效。方法24例伴有明显眼部症状的DAVF,全部经血管造影检查确诊,其中男8例,女16例。经岩下窦及面静脉两种途径至海绵窦,选择合适尺寸的电解可脱弹簧圈(EDC)进行栓塞,必要时配25%~60%的α-氰基丙烯酸正丁酯(NBCA)予以栓塞。结果其中经岩下窦至海绵窦22例,经面静脉至海绵窦2例;治愈22例,症状好转2例,无加重和死亡。随防2个月~8年。结论经岩下窦及面静脉两种途径治疗有严重眼部症状的DAVF,方法安全,疗效可靠。

Embolization of cerebral dural arteriovenous fistula with severe eye symptoms

Objective To investigate the methods and therapeutic effect of embolization for the treatment of cerebral dural arteriovenous fistula(DAVF) with severe eye symptoms.Methods Twenty-four patients with DAVF were diagnosed by digital subtraction angiography(DSA),including 8 men and 16 women.The ways to cavernous sinus included transinferior petrosal sinus and facial venous approach.Embolizing the sinus with appropriate EDC,matched by 25%-60% NBCA when needed.Results Twenty-two cases were treated by transinferior petrosal sinus and 2 by facial venous approach.Twenty-two cases were cured,symptoms of 2 cases were improved,and none worsened or died.The clinical follow-up was 2-96 months.Conclusion Transinferior petrosal sinus and facial venous approach appears to be effective and safe in the management of DAVF with severe eye symptoms.