经动脉入路应用Scepter双腔导管及ONYX胶栓塞硬脑膜动静脉瘘七例报道

摘要

Objective To explore the efficacy and safety of embolization of dural arteriovenous fistula (DAVF) via artery route with Scepter double channel tube and ONYX-18.Methods During the period of March 2012 and March 2014,7 patients with DAVF received embolization via artery route using Scepter double channel tube and ONYX-18.The methods and safety and reliability were summarized and analyzed.Results Angiography immediately after treatment showed cure in 6 patients,small amount of residues remained in one (orificium fistulae disappeared after carotid artery compression 3 months after treatment).One patient had facial paraesthesia and the symptom was relieved after symptomatic treatment.All patients were followed up for 6-12 months,Glasgow outcome scale (GOS) scores were 5 in all patients.Angiographic follow-up was carried out in 6 patients,showing complete occlusion of DAVFs in all patients.Conclusion Treatment of DAVF using Scepter double channel tube and ONYX-18 via artery route is convenient,safe and reliable.%目的 探讨经动脉入路应用Scepter双腔导管及ONYX 18胶栓塞硬脑膜动静脉瘘(DAVF)的疗效及安全性.方法 西安交通大学第二附属医院神经外科自2012年3月至2014年3月经动脉入路应用Scepter双腔球囊导管及ONYX 18胶栓塞治疗DAVF患者7例,回顾性分析患者的临床资料及疗效.结果 术后即刻造影显示治愈6例,好转1例(残余少许瘘口,经压颈治疗3月后瘘口消失),并发颜面部感觉异常1例,经对症治疗后痊愈.随访患者6月～1年,格拉斯哥预后评分(GOS)评分均为5分,6例患者接受全脑血管造影显示均治愈、无复发.结论 经动脉途径应用Scepter双腔导管及ONYX 18胶栓塞DAVF简便、安全、有效.