Comparison of polyvinyl alcohol copolymer with detachable balloons for the embolisation of direct carotid cavernous fistula: a single-centre experience
Comparison of polyvinyl alcohol copolymer with detachable balloons for the embolisation of direct carotid cavernous fistula: a single-centre experience
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聚乙烯醇共聚物与可脱式球囊栓塞直接颈动脉海绵窦瘘的比较：单中心经验
DOI：
10.1007/s00330-017-4864-2
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发表时间：
2017-05
影响因子：
5.9
通讯作者：
Li Tielin
中科院分区：
文献类型：
--
作者：
He Xuying;Duan Chuanzhi;Lai Lingfeng;Zhang Xin;Li Zhenjun;Li Xifeng;Li Tielin
ObjectivesTo promote the safety，efficacy and cost of direct carotid-cavernous fistula（CCF）treatment using polyvinyl alcohol copolymer or detachable balloons.MethodsWe reviewed retrospective patients with direct CCF treated with either a detachable balloon or polyvinyl alcohol copolymer at our hospital from 2005 to 2015 and identified 94 patients with 105 CCF.所有患者均进行了随访血管造影。CCF闭塞率，手术并发症发生率，治疗费用和手术时间recorded.ResultsWith平均5.4个月的血管造影随访，完全闭塞率和再通率的聚乙烯醇共聚物组的可脱性球囊组没有显着差异。 结论聚乙烯醇共聚物栓塞CCF与可脱性球囊栓塞CCF一样安全、有效，但费用高，手术时间长。要点·颈动脉海绵窦瘘是由颈动脉损伤引起的。可拆卸气球已成功使用多年。·一些人报告了使用聚乙烯醇共聚物栓塞后的良好结局。·聚乙烯醇共聚物组的处理费用要高得多。
ObjectivesTo characterise the safety, efficacy and cost of direct carotid-cavernous fistula (CCF) treatment using polyvinyl alcohol copolymer or detachable balloons.MethodsWe reviewed retrospectively patients with direct CCFs treated with either a detachable balloon or polyvinyl alcohol copolymer at our hospital from 2005 to 2015 and identified 94 patients with 105 CCFs. All patients had follow-up angiograms. The CCF occlusion rate, procedure complication rate, treatment expense and operation time were recorded.ResultsWith a mean of 5.4 months of angiographic follow-up, the complete occlusion rate and recanalisation rate of the polyvinyl alcohol copolymer group was not significantly different from that of the detachable balloon group. The treatment expense was much higher and the operation time was much longer in the polyvinyl alcohol copolymer group than the detachable balloon group (P< 0.001).ConclusionsEmbolisation of CCF with polyvinyl alcohol copolymer is as safe and effective as detachable balloon but has a much higher cost and longer operation time.Key Points•Carotid-cavernous fistula results from a damaged carotid artery.•Detachable balloons have been used with success for many years.•Some reported excellent outcomes after embolisation with polyvinyl alcohol copolymer.•Treatment expense is much higher in the polyvinyl alcohol copolymer group.
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影响因子：
4.1
作者：
M. Zenteno;J. Santos-Franco;V. Rodríguez-Parra;J. Balderrama;Y. Aburto-Murrieta;S. Vega-Montesinos;Ángel Lee
通讯作者：
M. Zenteno;J. Santos-Franco;V. Rodríguez-Parra;J. Balderrama;Y. Aburto-Murrieta;S. Vega-Montesinos;Ángel Lee
影响因子：
4.1
作者：
Elhammady, Mohamed Samy;Wolfe, Stacey Quintero;Aziz-Sultan, Mohammad Ali
通讯作者：
Aziz-Sultan, Mohammad Ali
DOI：
10.1016/j.jstrokecerebrovasdis.2015.08.016
发表时间：
2015-12-01
影响因子：
2.5
作者：
Hassan, Tamer;Rashad, Sherif;Ibrahim, Tamer
通讯作者：
Ibrahim, Tamer
影响因子：
1.7
作者：
C. Baccin;C. Campos;R. Abicalaf;L. Kanashiro;M. Bolcato;S. S. Lima-S.;R. Piske
通讯作者：
C. Baccin;C. Campos;R. Abicalaf;L. Kanashiro;M. Bolcato;S. S. Lima-S.;R. Piske
影响因子：
1.6
作者：
Li K;Cho YD;Kim KM;Kang HS;Kim JE;Han MH
通讯作者：
Han MH