硬脑膜动静脉分流的血管内治疗

Seminars in Cerebrovascular Diseases and Stroke Pub Date : 2004-12-01 DOI:10.1053/j.scds.2005.01.004

Ali Shaibani MD , Richard Parkinson MD , Eric J. Russell MD , Bernard R. Bendok MD , Richard A. Bernstein MD, PhD , Matthew Walker MD , Ajay K. Wakhloo MD, PhD

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引用次数: 0

摘要

硬脑膜动静脉分流占颅内血管畸形的10%至15%。它们的病理生理是复杂的，它们的自然史直到最近才得到充分的阐明。高级别硬脑膜动静脉分流术(伴有皮质静脉回流)与每年6.9%的非出血性神经系统并发症发生率、8.1%的颅内出血发生率和10.1%的年死亡率相关。本文综述了硬脑膜动静脉分流术的影像学、检查、适应症和最新的血管内治疗技术。并讨论了治疗效果和并发症发生率。

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Endovascular Treatment of Dural Arteriovenous Shunts

Dural arteriovenous shunts comprise 10% to 15% of intracranial vascular malformations. Their pathophysiology is complex and their natural history has only recently been adequately elucidated. High-grade dural arteriovenous shunts (those with cortical venous reflux) are associated with a 6.9% annual incidence of nonhemorrhagic neurologic complications, a 8.1% annual incidence of intracranial hemorrhage, and a 10.1% annual mortality rate. This article provides an overview of the imaging, workup, and indications and latest techniques for endovascular treatment of dural arteriovenous shunts. Treatment efficacy and complication rates are also discussed.

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