球囊辅助经动脉栓塞术治疗脊髓硬膜外动静脉瘘1例

JNET Pub Date : 2019-02-21 DOI:10.5797/JNET.CR.2018-0122

Atsushi Uyama, A. Fujita, Y. Takaishi, T. Kondo, Atsushi Arai, M. Okada, Daigo Fujiwara, E. Kohmura

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引用次数: 1

摘要

目的：在经动脉栓塞治疗脊髓硬膜外动静脉瘘（SEDAVF）中，控制分流点的血流量至关重要。我们报告了一例用TAE治疗SEDAVF的病例，该病例使用球囊阻断了参与分流的几个节段动脉（SA）中的一个。病例介绍：一名68岁男性，出现步态障碍和膀胱-肠功能障碍。腰椎MRI显示圆锥周围静脉扩张且弯曲。脊髓血管造影术显示SEDAVF通过右侧第2和第3腰动脉（L2和L3）分支供应的硬膜外静脉丛出现硬膜内静脉回流。我们在流量控制下，通过使用球囊封堵L3，从L2的喂食器中注入14%的2-氰基丙烯酸正丁酯（NBCA），并实现了动静脉分流器的完全闭塞。结论：在用来自多个SA的喂食器治疗SEDAVF时，用球囊封堵其中一个SA的TAE是一种有用的方法。

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A Patient with Spinal Epidural Arteriovenous Fistula Cured by Balloon-assisted Transarterial Embolization under Flow Control

Objective: In transarterial embolization (TAE) of spinal epidural arteriovenous fistula (SEDAVF), it is essential to control the blood flow at the shunt point. We report a case of SEDAVF treated with TAE with occluding one of several segmental arteries (SAs) involved in the shunt using a balloon. Case Presentation: A 68-year-old male presented with gait disturbance and bladder bowel dysfunction. Lumbar spinal MRI showed a dilated and tortuous vein around the spinal conus. Spinal angiography revealed a SEDAVF with intradural venous reflux through the epidural venous plexus fed by the branches of the right 2nd and 3rd lumbar arteries (L2 and L3). We infused 14% n-buthyl-2-cyanoacrylate (NBCA) from the feeder of the L2 under the flow control by occluding L3 using a balloon and achieved complete obliteration of the arteriovenous shunt. Conclusion: In treatment of SEDAVF with feeders from several SAs, TAE with occluding one of the SAs using a balloon is a useful method.

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来源期刊

JNET

自引率

0.00%

发文量

审稿时长

17 weeks

期刊介绍： JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.