非Galen静脉脑动静脉瘘的血管内治疗  

Endovascular treatment of non-galenic cerebral arteriovenous fistulas

作　　者：纪文军[1] 刘爱华[2] 吴中学[2] 

机构地区：[1]榆林市第二医院神经外科,719000 [2]北京市神经外科研究所首都医科大学附属北京天坛医院神经介入科,100050

出　　处：《中国微侵袭神经外科杂志》2015年第8期351-353,共3页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：国家自然科学基金(编号:81441038);北京市自然科学基金(编号:7142032);北京市科技新星计划交叉学科合作课题(编号:Z141107001814120);首都卫生发展科研专项(编号:2014-3-2044)

摘　　要：目的探讨血管内栓塞治疗非Galen静脉脑动静脉瘘（NCAVF）的效果。方法回顾性分析8例NCAVF临床病例资料,其中单瘘口7例,多瘘口1例;3例采用单纯弹簧圈栓塞,5例采用弹簧圈辅助Onyx胶栓塞。结果术后即刻造影示一次完全栓塞瘘口6例,分期完全栓塞1例,近全栓塞1例。术后随访3~24个月,造影无复发,8例病人术后症状均得到缓解。结论弹簧圈或弹簧圈辅助Onyx栓塞治疗非Galen静脉脑动静脉瘘可行,效果良好。对于高流量瘘,弹簧圈可降低血流,辅助Onyx栓塞瘘口。Objective To explore the effectiveness of embolization in treating non-galenic cerebral arteriovenous fistulas （NCAVF）. Methods The clinical data of 8 patients with NCAVF undergoing embolization using Onyx and coils were analyzed retrospectively. There was a single fistula in 7 patients and multiple fistula in 1. Coil embolization alone was performed in 3 patients and coil-assisted Onyx in 5. Results The immediate DSA after embolization showed that complete occlusion of NCAVF was achieved in 6 patients, near complete occlusion in 1 and achieved complete occlusion after staged occlusion in 1. All symptoms resolved after embolization. No patient recurred during the follow-up period fi：om 3 to 24 months. Conclusions Coil embolization alone or coil-assisted Onyx is a feasible for patients with NCAVF, with good efficacy. The coil can reduce the velocity of blood flow and helps to embolize the fistula with Onyx in patients with high-flow NCAVF.

关 键 词：动静脉瘘 栓塞 治疗性 弹簧圈 ONYX胶 

分 类 号：R651.1[医药卫生—外科学]