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Endovascular embolization of cerebral arteriovenous malformation

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Author:
No author available
Journal Title:
NATIONAL MEDICAL JOURNAL OF CHINA
Issue:
10
DOI:
10.3760/j:issn:0376-2491.2002.10.003
Key Word:
脑动静脉畸形;栓塞,治疗性

Abstract: 目的探讨α-氰基丙烯酸正丁酯(NBCA)生物胶血管内栓塞治疗脑动静脉畸形的效果及技术要点.方法对469例脑动静脉畸形应用微导管技术,在数字减影血管造影监视下行血管内栓塞治疗.结果成功栓塞469例脑动静脉畸形,467例痊愈,2例死亡.469例病人共行1 108次栓塞,栓塞次数1~8次/例,平均2.3次.栓塞程度:100%栓塞155例,90%~100%栓塞93例,80%~90%栓塞105例,70%~80%栓塞78例,60%~70%栓塞27例,栓塞60%以下11例.栓塞后行γ-刀(或X-刀)放射治疗117例、手术切除32例.并发症有脑梗死1例,于尿激酶溶栓后恢复,脑出血4例,2例导管断裂滞留畸形团内.结论血管内栓塞治疗脑动静脉畸形是一种安全、可靠、有效的治疗手段.

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