论文部分内容阅读
5例颈内动脉海绵窦瘘患者 (其中 1例合并假性动脉瘤 )全部经皮股动脉穿刺行全脑DSA检查确诊 ,用可脱性球囊进行栓塞治疗 ,结果全部栓塞成功 ,其中 3例保持颈内动脉通畅 ,1例球囊进入瘘口困难 ,行闭塞瘘口的同时栓塞同侧颈内动脉 ;另 1例合并假性动脉瘤患者在瘘口成功闭塞后被迫闭塞颈内动脉。 3例随访 6～ 18个月 ,无复发。可脱性球囊栓塞技术已成为治疗颈内动脉海绵窦瘘的首选方法 ,成功的关键在于闭塞瘘口的同时防止并发症的发生。
Five cases of internal carotid cavernous fistula (including 1 case of pseudo-aneurysm) all percutaneous femoral artery puncture line DSA confirmed by DSA with detachable balloon embolization, the results of all embolization successful, of which 3 cases To maintain the internal carotid artery unobstructed, 1 case of balloon into the fistula difficulty occlusion fistula at the same time embolization of the ipsilateral internal carotid artery; another case of pseudoaneurysm in patients with occlusion of the fistula after successful occlusion of the internal carotid artery. Three patients were followed up for 6-18 months without recurrence. Removable balloon embolization technology has become the preferred method of treatment of internal carotid artery cavernous fistula, the key to success is occlusion fistula at the same time prevent the occurrence of complications.