...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AJNR. American journal of neuroradiology >Combined endovascular and surgical approach for the treatment of palpebral arteriovenous malformations: experience of a single center.
【24h】

Combined endovascular and surgical approach for the treatment of palpebral arteriovenous malformations: experience of a single center.

机译：血管内和外科手术相结合的方法治疗睑板动静脉畸形：一个中心的经验。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND AND PURPOSE: Palpebral AVMs (pAVMs) are rare vascular lesions for which the treatment is challenging. Our aim was to present the technical aspects of the presurgical treatment by interventional neuroradiology of pAVMs and to report the clinical and angiographic results of combined (interventional neuroradiology/surgery) treatment of these malformations. MATERIALS AND METHODS: Nine patients (5 females, 4 males) with a mean age of 22 years (range, 12-35 years) were treated in our department from December 1992 to April 2007 for superficial pAVMs. Seven patients presented with isolated pAVMs, while 2 had hemifacial AVMs. Ten TAE procedures, by using a liquid embolic agent (glue or Onyx) or microparticles, were performed in 7 patients. Six patients underwent absolute alcohol, glue, or sclerotic agent injection by direct puncture in 8 procedures. Clinical and angiographic follow-up were performed with a mean delay of, respectively, 6.3 and 5 years. RESULTS: Three patients had a single EVT. Iterative procedures were performed in 5 patients. In 1 patient, EVT was not performed because of the risk of occlusion of the central retinal artery. No complication occurred except 1 case of transient palpebral hematoma. No visual acuity loss related to an endovascular procedure was reported. Exclusion of the AVMs at the end of the procedure was >75% in all cases and total in 3/8 cases. All the patients except 2 underwent at least 1 surgical procedure after the embolization. Good clinical regression of the mass was obtained in all patients at long-term follow-up. CONCLUSIONS: Combined endovascular and surgical treatment of pAVMs is an effective and safe technique with good clinical results at long-term follow-up.
机译：背景与目的：睑板AVM（pAVM）是罕见的血管病变，对其治疗具有挑战性。我们的目的是介绍通过pAVM的介入神经放射学进行术前治疗的技术方面，并报告对这些畸形进行联合（介入神经放射学/外科）治疗的临床和血管造影结果。材料与方法：1992年12月至2007年4月，我科收治9例平均年龄22岁（12-35岁）的患者（5例女性，4例男性）。 7例患者出现孤立的pAVM，而2例患有半面AVM。通过使用液体栓塞剂（胶水或玛瑙）或微粒，对7例患者进行了10次TAE手术。 6名患者在8个步骤中通过直接穿刺进行了无酒精，胶水或硬化剂注射。临床和血管造影随访平均延迟分别为6.3年和5年。结果：三名患者有一次EVT。 5例患者进行了重复手术。在1例患者中，由于存在视网膜中央动脉闭塞的风险，因此未进行EVT。除1例短暂性睑缘血肿外，无并发症发生。没有报道与血管内手术有关的视力下降。在该过程结束时，所有情况下排除AVM的比例均> 75％，在3/8例中总计排除在外。除2名患者外，所有患者在栓塞后均进行了至少1次手术。在长期随访中，所有患者均获得良好的肿块临床回归。结论：pAVM的血管内和手术联合治疗是一种安全有效的技术，在长期随访中具有良好的临床效果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号