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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Cognard Type V Dural Arteriovenous Fistula Involving the Occipital Sinus
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Cognard Type V Dural Arteriovenous Fistula Involving the Occipital Sinus

机译：Cognard型V Dratk动静脉瘘，涉及枕骨窦

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摘要

The Cognard type V dural arteriovenous fistula (dAVF), which has a drainage route into the spinal vein, is a rare subtype of cranial dAVF. Because of typical features such as progressive myelopathy and brainstem dysfunctions, aggressive treatments should be considered. To eliminate venous congestion of the spinal cord, various approaches including surgical interruption of the spinal draining vein or transarterial embolization with cyanoacrylate have been reported. The introduction of nonadhesive Onyx has changed the treatment of dAVF, although little is known about the clinical usefulness of this type of fistula. We describe a case of the Cognard type V dAVF, draining into the spinal vein through the occipital sinus (OS) successfully treated by transarterial double catheter injection of Onyx. We used the alternating injections from 2 microcatheters until the Onyx reached the OS and reflowed into feeders adequately. This technique contributed to the elimination of the remaining afferent flow in an early stage of Onyx injection and achieved enough penetration into the draining vein. (C) 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.
机译：具有引流途径进入脊髓静脉的患者型V多久动静脉瘘（DAVF）是颅底的稀有亚型。由于诸如进行性肌肉和脑干功能障碍等典型特征，应考虑激进治疗。为了消除脊髓的静脉挤动，已经报道了各种方法，包括脊柱排出静脉或用氰基丙烯酸酯的静脉浸润静脉栓塞的手术中断。虽然这种类型的瘘管的临床有用性毫无熟悉，但不粘附的Onyx引入已经改变了DAVF的治疗方法。我们描述了Cognard型V DAVF的情况，通过耳状双导管注入ONYX成功处理的枕骨窦（OS）排入脊柱静脉。我们使用2微型测定的交替注射，直到Onyx到达OS并充分回流进料器。该技术有助于消除肉瘤注射早期阶段的剩余传入流动，并实现足够的渗透到排水静脉中。 （c）2017国家冲程协会。由elsevier Inc.保留所有权利发布。

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