CAJ | 학술논문

目的评价弹簧圈近端辅助Onyx胶栓塞技术治疗脑动静脉畸形的可行性和安全性.方法回顾性分析22例应用弹簧圈近端辅助Onyx胶栓塞技术治疗的脑AVM患者的临床资料及随访结果.结果 22例畸形共接受31次栓塞治疗,每例畸形团平均注射Onyx胶6.1 ml(1.5～16.0 ml).畸形团平均闭塞率达96.7％.18例通过血管内治疗完全闭塞.发生操作相关并发症1例,导致永久性神经功能缺失.随访期间患者预后满意,无再出血发生.造影随访栓塞结果稳定.结论弹簧圈近端辅助Onyx胶栓塞技术是一种可行的脑AVM治疗方法.
목적 평개탄황권근단보조Onyx효전새기술치료뇌동정맥기형적가행성화안전성.방법 회고성분석22례응용탄황권근단보조Onyx효전새기술치료적뇌AVM환자적림상자료급수방결과.결과 22례기형공접수31차전새치료,매례기형단평균주사Onyx효6.1 ml(1.5～16.0 ml).기형단평균폐새솔체96.7％.18례통과혈관내치료완전폐새.발생조작상관병발증1례,도치영구성신경공능결실.수방기간환자예후만의,무재출혈발생.조영수방전새결과은정.결론 탄황권근단보조Onyx효전새기술시일충가행적뇌AVM치료방법.
Objective To present the initial experience by using a novel injection method for the embolization of AVMs.Methods The authors retrospectively reviewed the data of all 22 patients with brain AVMs (12 male,10 female; age range,12 ～68 years; mean age,43.2 years) treated by transarterial coil -augmented Onyx injection technique.The technical feasibility of the procedure,procedure-related complications,angiographic results,and clinical outcome were evaluated.Results A total of 31 sessions were performed with the mean injection volume of 6.1 ml (range,1.5 ～16.0 ml).An average of 96.7％ (range 85％～ 100％) estimated size reduction was achieved,and 18 AVMs could be completely excluded by EVT alone.The results remained stable on follow-up angiograms.Procedural complication occurred in one patient,with permanent mild neurologic deficit.Conclusions Their preliminary series demonstrated that coil-augmented Onyx injection technique was a valuable complement,which achieved excellent penetration and improved safety of the procedure.