目的探讨经动脉人路应用Scepter双腔导管及ONYX18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ONYX18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0NYX18胶栓塞DAVF简便、安全、有效。
Objective To explore the efficacy and safety ofembolization of dural arteriovenous fistula (DAVF) via artery route with Scepter double channel tube and ONYX-18. Methods During the per/od 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.