Traumatic arteriovenous fistula treated by superselective embolisation with microcoils: case report
Traumatic arteriovenous fistula treated by superselective embolisation with microcoils: case report
复制标题
微弹簧圈超选择性栓塞治疗创伤性动静脉瘘：病例报告
DOI：
10.1007/bf00588523
复制
发表时间：
2004
期刊：
影响因子：
2.8
通讯作者：
J. Karasawa
中科院分区：
文献类型：
--
作者：
H. Touho;N. Furuoka;H. Ohnishi;T. Komatsu;J. Karasawa
一名 27 岁男性患有外伤性直接硬脑膜动静脉瘘 (DAVF)，接受微弹簧圈栓塞治疗。他在醉酒时头部遭受了钝器伤，并意识到没有神经功能障碍。然而，事故发生几天后，他注意到右侧太阳穴有瘀伤。血管造影显示直接 DAVF 由右侧脑膜中动脉供血并流入右侧颞硬膜静脉和同侧海绵窦。 Tracker-18导管毫无困难地穿过瘘管，然后用微线圈从远端到近端栓塞引流静脉，最后用微线圈闭塞瘘管，导致瘘管完全闭塞。栓塞后，患者立即听不到杂音。因此，当可以将微导管引入引流静脉时，微弹簧圈可以用作治疗直接 DAVF 的栓塞。
A 27-year-old man with a traumatic direct dural arteriovenous fistula (DAVF) was treated using embolisation microcoils. He had suffered blunt trauma to the head while drunk and was aware of no neurological deficit. A few days after the accident, however, he noticed a bruit in the right temple. Angiography demonstrated a direct DAVF fed by the right middle meningeal artery and draining into a right temporal dural vein and the ipsilateral cavernous sinus. A Tracker-18 catheter was passed without difficulty through the fistula and the draining vein was then embolised from distal to proximal with microcoils, and finally the fistula was occluded with microcoils, resulting in total obliteration of the fistula. Immediately after the embolisation, the patient could no longer hear the bruit. Thus, when a microcatheter can be introduced into the draining vein, microcoils can be used as emboli in the treatment of direct DAVF.