用国产胶体栓塞剂经血管内治疗脑动静脉畸形  

Endovascular Embolization of Brain Arteriovenous Malformation with Native Bucrylate and N-butyl Cyanoacrylate

作　　者：李宝民[1] 王家钰[1] 周定标[1] 段国升[1] 张纪[1] 

机构地区：[1]解放军总医院神经外科,解放军总医院药学研究室

出　　处：《中国医学影像学杂志》1994年第4期203-206,共4页Chinese Journal of Medical Imaging

摘　　要：报告了经血管内采用微导管超选择导入技术，并应用国产氰基丙烯酸异丁酯（Ｉｓｏｂｕｔｙ１２－ｃｙａｎｏａｃｒｙｌａｔｅ，ＩＢＣＡ）和α－氰基丙烯酸正丁酯（Ｎ－ｂｕｔｙｌｃｙａｎｏａｃｒｙｌａｔｅ，ＮＢＣＡ）栓塞治疗４４例脑动静脉畸形，获较满意效果。文中就栓塞材料的选择、ＩＢＣＡ和ＮＢＣＡ之间的特点比较及应用方法，栓塞术中并发症的预防与处理等进行了讨论。本组资料表明，国产ＩＢＣＡ和ＮＢＣＡ具有与国外产品性能相似的弥散好、易控制、聚合速度快等优点。Forty four cases of brain arteriovenous malformation (AVM)were treated by endovascular superselec-tive microcathetering and embolization with native bucrylate(Isobutyl 2-cyanoacrylate, IBCA) and N-butylcyanoacrylate (NBCA). The selection of embolic materials, comparison of drug characteristics between IBCA andNBCA, using method,prevention and management of the complications during embolization were discussed.Our re-sults showed the drug nature of native IBCA and NBCA were similar to that of foreign products in diffusion,ease ofcontrol and polymerization time.

关 键 词：脑血管畸形 血管内治疗 栓塞 IBCA NBCA 

分 类 号：R743.4[医药卫生—神经病学与精神病学]