弹簧圈近端辅助Onyx胶栓塞技术治疗脑动静脉畸形（附22例报告）  

Transarterial coil - augmented Onyx embolization for brain arteriovenous malformation： technique and experience in 22 consecutive patients

作　　者：高旭[1] 于春泳[1] 李志清[1] 王晓刚[1] 李靖远[1] 梁国标[1] 

机构地区：[1]沈阳军区总医院神经外科,110840

出　　处：《中华神经外科杂志》2014年第3期221-224,共4页Chinese Journal of Neurosurgery

摘　　要：目的评价弹簧圈近端辅助Onyx胶栓塞技术治疗脑动静脉畸形的可行性和安全性。方法回顾性分析22例应用弹簧圈近端辅助Onyx胶栓塞技术治疗的脑AVM患者的临床资料及随访结果。结果22例畸形共接受31次栓塞治疗，每例畸形团平均注射Onyx胶6．1ml（1．5～16．0m1）。畸形团平均闭塞率达96．7％。18例通过血管内治疗完全闭塞。发生操作相关并发症1例，导致永久性神经功能缺失。随访期间患者预后满意，无再出血发生。造影随访栓塞结果稳定。结论弹簧圈近端辅助Onyx胶栓塞技术是一种可行的脑AVM治疗方法。Objective To present the initial experience by using a novel injection method for the embolization of AVMs. Methods The authors retrospectively reviewed the data of all 22 patients with brain AVMs （12 male, 10 female; age range, 12 -68 years; mean age, 43.2 years） treated by transarterial coilaugmented Onyx injection technique. The technical feasibility of the procedure, procedure - related complications, angiographic results, and clinical outcome were evaluated. Results A total of 31 sessions were performed with the mean injection volume of 6. 1 ml （ range, 1.5 - 16. 0 ml）. An average of 96. 7% （range 85% -100% ） estimated size reduction was achieved, and 18 AVMs could be completely excluded by EVT alone. The results remained stable on follow - up angiograms. Procedural complication occurred in one patient, with permanent mild neurologic deficit. Conclusions Their preliminary series demonstrated that coil -augmented Onyx injection technique was a valuable complement, which achieved excellent penetration and improved safety of the procedure.

关 键 词：栓塞 动静脉畸形 弹簧圈 ONYX胶 血管内治疗 

分 类 号：R743.4[医药卫生—神经病学与精神病学]