带膜支架在血管内治疗外伤性颈动脉海绵窦瘘中的应用  

Application of endovascular stent graft in treatment of traumatic carotid cavernous fistula

作　　者：耿凤阳 朱建新 付强 李忠民 王运华 杨风海 吕明[2] 

机构地区：[1]聊城市脑科医院一病区,252000 [2]北京市神经外科研究所

出　　处：《中华创伤杂志》2009年第2期157-159,共3页Chinese Journal of Trauma

摘　　要：目的探讨Jostent冠脉带膜支架对于颈动脉海绵窦瘘的血管内治疗效果。方法于2001年6月-2007年5月应用Jostent冠脉带膜支架治疗8例外伤性颈动脉海绵窦瘘。结果在8例患者中带膜支架被成功放置于靶动脉，导致瘘完全消除并保持载瘘动脉畅通，临床效果满意，无手术相关并发症发生。6例患者于带膜支架放置后6个月获造影随访，显示瘘口未再通，载瘘动脉畅通。结论带膜支架对于某些颈动脉海绵窦瘘是有用的血管内治疗手段。带膜支架的制作工艺仍有待发展和优化，以使之适用于脑血管系统。Objective To evaluate the effect of Jostent coronary stent-graft in endovascular treatment of traumatic carotid cavernous fistula. Methods Eight patients with traumatic carotid-cavernous fistula were treated by Jostent coronary stent graft from June 2001 to May 2007. Results The stent graft was successfully implanted in the target artery in all patients. The fistula in all patients was removed and the parent arteries kept unblocked. The clinical outcome was favorable, with no operation-related complications occurred. The angiogram showed normal patency of the parent arteries, without recanalization of the fistula six months after the stent graft implantation in six patients. Conclusions Stent graft is a useful tool for endovascular treatment of carotid cavernous fistula in selected patients. Further research is needed to optimize the stent graft for further use in cerebrovascular system.

关 键 词：支架 栓塞 治疗性 血管瘘 海绵窦 颈动脉 

分 类 号：R651.1[医药卫生—外科学]