Advances in the intravascular interventional embolization for dural arteriovenous fistula

doi:10.3877/cma.j.issn.2095-5782.2016.03.012

Abstract

Abstract:

Dural arteriovenous fistula is a common intracranial vascular malformation, which may contribute to complicated cerebral bleeding and has no available cure. The Digital Subtraction Angiography(DSA) is a golden tool for diagnosing dural arteriovenous fistula because it can present the malformation clearly and precisely, and even from the feeding arteries, draining veins, and to the blood flow. In this study, we aim to evaluate the clinical efficacy of the novel material Onyx that is used in the intravascular embolization of dural arteriovenous Fistula, and explore the advances in the intravascular interventional embolization treatment of dural arteriovenous Fistulae.

Key words: Dural arteriovenous fistula, Intravascular interventional therapy, Progress, Onyx

Jianfeng Xu, Lingyong Zeng, Guiqiang Wu, Yang Liu, Hai Zhang, Yang Gao, Li Deng, Bo Zhang, Hui Cao, Zaobin Liu. Advances in the intravascular interventional embolization for dural arteriovenous fistula[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(03): 172-177.

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分型	临床表现
I型	只有静脉窦和硬脑膜静脉回流
Ⅱ型	兼有静脉窦、硬脑膜静脉、软脑膜静脉回流
Ⅲ型	只有软脑膜静脉回流

分型	临床表现
I型	只有静脉窦和硬脑膜静脉回流
Ⅱ型	兼有静脉窦、硬脑膜静脉、软脑膜静脉回流
Ⅲ型	只有软脑膜静脉回流

分型	临床表现
I型	后颅窝，供血动脉主要为枕动脉
Ⅱ型	中颅窝，供血动脉主要为脑膜中动脉后支
Ⅲ型	前颅窝，供血动脉主要为脑膜中动脉
Ⅳ型	海绵窦旁，供血动脉主要为脑膜中动脉和颌内动脉分支

分型	临床表现
I型	后颅窝，供血动脉主要为枕动脉
Ⅱ型	中颅窝，供血动脉主要为脑膜中动脉后支
Ⅲ型	前颅窝，供血动脉主要为脑膜中动脉
Ⅳ型	海绵窦旁，供血动脉主要为脑膜中动脉和颌内动脉分支

分型	临床表现
Ⅰ型	血液引流到通畅的静脉窦，症状以颅内杂音为主，很少引起颅内高压及神经系统症状
Ⅱ型	血液引流到静脉窦并返流到皮层静脉，以慢性颅内压增高为主
Ⅲ型	血液直接引流到皮层静脉，引起静脉扩张，甚至呈动脉瘤样变，以SAH为主，
Ⅳ型	血液引流入静脉湖，颅内占位效应显著、颅内高压明显，脑出血常见，并伴有神经功能障碍

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