Embolization of Cavernous Sinus Dural Arteriovenous Fistula with Liquid Materials Under Transarterial Balloon Protection.

Turkish neurosurgery Pub Date : 2023-01-01 DOI:10.5137/1019-5149.JTN.40189-22.2

Jia-Nan Li, Cheng-Hao Shang, Yi Xu, Jian-Min Liu, Qiang Li

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Abstract

Aim: To analyze the clinical and angiographic outcomes of interventional embolization under transarterial balloon protection technique in patients with cavernous sinus dural arteriovenous fistulas.

Material and methods: In a single-center cohort of 30 patients undergoing cavernous sinus dural arteriovenous fistulas embolization under balloon protection. We collected their clinical symptoms, complications, mid-term follow-up angiographic results, and long-term clinical outcomes for the baseline characteristics.

Results: Thirty patients with 31 lesions were included in this study. Immediate applications of angiographies after embolization indicated that complete obliteration occurred in 29 lesions (93.5% of 31 lesions). Two cases with permanent trigeminal nerve palsy were treated by arterial approach. Onyx dispersed into the internal carotid artery in one process, and salvage stent implantation was performed to prevent parent artery occlusion.

Conclusion: Interventional embolization with intra-arterial balloon protection is effective and safe with rarely occurring complications.

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经动脉球囊保护下液体材料栓塞海绵窦硬脑膜动静脉瘘。

目的：分析经动脉球囊保护技术介入栓塞治疗海绵窦硬脊膜动静脉瘘的临床和血管造影结果。材料和方法：在一个由30名患者组成的单中心队列中，在球囊保护下接受海绵窦硬脑膜动静脉瘘栓塞。我们收集了他们的临床症状、并发症、中期随访血管造影结果和基线特征的长期临床结果。结果：本研究纳入了30例31个病灶的患者。栓塞后立即应用血管造影显示，29个病变（占31个病变的93.5%）发生了完全闭塞。采用动脉入路治疗2例永久性三叉神经麻痹。玛瑙在一个过程中扩散到颈内动脉，并进行挽救性支架植入以防止母动脉闭塞。结论：动脉内球囊保护介入栓塞是安全有效的，并发症少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Turkish neurosurgery

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