中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
10期
43-45
,共3页
颈动脉海绵窦瘘%覆膜支架
頸動脈海綿竇瘺%覆膜支架
경동맥해면두루%복막지가
Traumatic carotid-cavernous fistulas%Covered stent
目的 评价覆膜支架血管内治疗外伤性颈动脉海绵窦瘘(TCCF)的效果.方法 郑州大学第一附属医院2009年5月至2013年8月采用覆膜支架治疗外伤性颈动脉海绵窦瘘10例,术后随访1～ 36个月,评价其疗效.结果 10例患者覆膜支架全部植入成功,无相关手术并发症.其中4例患者应用Jostent覆膜支架,6例应用了Willis覆膜支架.8例患者使用1枚覆膜支架,2例患者使用2枚支架;术中6例支架释放后出现对比剂内漏,使用球囊于内漏端扩张后4例消失,2例仍有对比剂内漏,再次植入支架后消失;所有患者全部保留了颈内动脉(ICA).术后随访造影显示原病变未显影,患侧ICA通畅,支架无明显狭窄.结论 应用覆膜支架治疗TCCF安全、有效,可以作为TCCF的一种重要的治疗方法.
目的 評價覆膜支架血管內治療外傷性頸動脈海綿竇瘺(TCCF)的效果.方法 鄭州大學第一附屬醫院2009年5月至2013年8月採用覆膜支架治療外傷性頸動脈海綿竇瘺10例,術後隨訪1～ 36箇月,評價其療效.結果 10例患者覆膜支架全部植入成功,無相關手術併髮癥.其中4例患者應用Jostent覆膜支架,6例應用瞭Willis覆膜支架.8例患者使用1枚覆膜支架,2例患者使用2枚支架;術中6例支架釋放後齣現對比劑內漏,使用毬囊于內漏耑擴張後4例消失,2例仍有對比劑內漏,再次植入支架後消失;所有患者全部保留瞭頸內動脈(ICA).術後隨訪造影顯示原病變未顯影,患側ICA通暢,支架無明顯狹窄.結論 應用覆膜支架治療TCCF安全、有效,可以作為TCCF的一種重要的治療方法.
목적 평개복막지가혈관내치료외상성경동맥해면두루(TCCF)적효과.방법 정주대학제일부속의원2009년5월지2013년8월채용복막지가치료외상성경동맥해면두루10례,술후수방1～ 36개월,평개기료효.결과 10례환자복막지가전부식입성공,무상관수술병발증.기중4례환자응용Jostent복막지가,6례응용료Willis복막지가.8례환자사용1매복막지가,2례환자사용2매지가;술중6례지가석방후출현대비제내루,사용구낭우내루단확장후4례소실,2례잉유대비제내루,재차식입지가후소실;소유환자전부보류료경내동맥(ICA).술후수방조영현시원병변미현영,환측ICA통창,지가무명현협착.결론 응용복막지가치료TCCF안전、유효,가이작위TCCF적일충중요적치료방법.
Objective To evaluate the efficacy of covered stent for endovascular treatment on traumatic carotid-cavernous fistulas.Methods From May 2009 to August 2013,10 patients with traumatic carotid cavernous fistulas were treated with covered stents.Follow-up for 1-36 months was made to evaluate the therapeutic efficacy.Results 10 TCCFs were successfully treated with covered stent without complications.Four patients were with application of Jostent covered stents,6 patients with application of Willis covered stents.One covered stent was placed in 8 patients and two covered stents in 2.Angiographic results following stent placement showed an incomplete occlusion in eight patients.After redilatation of balloon,the endoleaks disappeared in 4 patients.The others disappeared completely after the second covered stent was deployed in 2 patients.The internal carotid artery(ICA) was retained in all cases.Angiographic follow-up revealed complete occlusion,the ICAs were retained,and no obvious instent stenosis.Conclusions Application of covered stent in the treatment of TCCF is safe,effective,and can be regarded as an important treatment option of TCCF.
