Endovascular Treatment of Arteriovenous Malformations of the Brain
Endovascular Treatment of Arteriovenous Malformations of the Brain
复制标题
脑动静脉畸形的血管内治疗
DOI：
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
I. Choi
中科院分区：
文献类型：
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作者：
A. Berenstein;P. Lasjaunias;I. Choi
血管内入路治疗动静脉畸形可以追溯到20世纪60年代Luessenhop的原始工作。Luessenhop在手术暴露颈动脉后将自由漂浮的颗粒材料引入颈内动脉。最初的材料是覆盖着甲基丙烯酸甲酯的钢颗粒。然后，通过使用钡浸渍的硅橡胶球来改进这种方法。这项技术的灵感来自于布鲁克斯的原始工作，他将肌肉颗粒注入颈内动脉，试图阻塞颈动脉海绵状瘘。硅胶球栓塞的基本原理是消除对大的、手术无法达到的畸形的喂养蒂。随后，在20世纪70年代早期，Kricheff开发了经皮导管技术；这允许更大的灵活性，使前循环或后循环接近。这种方法的主要缺点是可以注入的栓塞颗粒的大小。这种非选择性技术被用作大畸形的缓解措施，或用于术前栓塞，或作为分期手术的一部分（Hilal和Michelsen 1975； Wolpert et al. 1981）。更现代的血管内栓塞时代是由Kerber（1976）开创的，通过使用带有校准泄漏微球囊系统的血流引导微球囊导管的可能性来辅助。这种导管装配系统由非常灵活和柔软的硅橡胶管组成，上面附有一个经过校准的“泄漏”的硅橡胶气球。该技术的改进包括使用压力室（Pevsner 1977）和使用校准的泄漏乳胶气球（Berenstein 1981; Debrun et al. 1982）。最新一代可变刚度微导管在脑动静脉畸形（BAVMs）的血管内治疗中彻底改变了脑血管导航的方法。
The endovascular approach to arteriovenous malformations dates back to the original work by Luessenhop in the 1960s. Luessenhop employed free-floated particulate material introduced into the internal carotid artery after surgical exposure of the carotid artery. The original material was steel particles covered with methyl methacrylate. This approach was then refined by using barium-impregnated Silastic spheres. The technique was inspired by the original work of Brooks, who injected muscle particles into the internal carotid artery in an attempt to occlude carotid cavernous fistulas. The rationale of silicone sphere embolization was to obliterate the feeding pedicles to large, surgically inaccessible malformations. Subsequently the percutaneous transcatheter technique was developed by Kricheff in the early 1970s; this permitting greater flexibility, enabling either the anterior or the posterior circulation to be approached. The major drawback of such an approach was the size of the embolic particles that could be injected. This nonselective technique was employed as a palliative measure in large malformations, or for presurgical embolization, or as part of a staged procedure (Hilal and Michelsen 1975; Wolpert et al. 1981). The more modern era of endovascular embolization was pioneered by Kerber (1976), assisted by the possibility of employing flow-guided microballoon catheters with a calibrated leak microballoon system. This catheter assembly system consisted of very flexible and soft Silastic tubing to which a Silastic balloon with a calibrated “leak” was attached. Modifications of this technique included the use of a pressure chamber (Pevsner 1977) and the use of calibrated leak latex balloons (Berenstein 1981; Debrun et al. 1982). The latest generation of variable stiffness microcatheters has revolutionized the approach to cerebrovascular navigation in the endovascular treatment of arteriovenous malformations of the brain (BAVMs).
高流量血管病：实验性慢性动静脉瘘中的脑血管变化。
DOI：
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发表时间：
1986
期刊：
AJNR. American journal of neuroradiology
影响因子：
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作者：
Pile-Spellman,JM;Baker,KF;Liszczak,TM;Sandrew,BB;Oot,RF;Debrun,G;Zervas,NT;Taveras,JM
通讯作者：
Taveras,JM