Focus on the target: Angiographic features of the fistulous point and prognosis of transvenous embolization of cavernous sinus dural arteriovenous fistula
机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室医技科室研究所放射科放射科北京市神经外科研究所首都医科大学附属天坛医院[2]Department of neurosurgery, aerospace center hospital, Haidian, Beijing, China[3]Department of Neurosurgery, Puyang People’s Hospital, Henan, China
Background and purpose: Transvenous embolization (NE) is widely utilized as an effective and safe treatment option for cavernous sinus dural arteriovenous fistula (CS-dAVF); however, detecting the exact location of the fistula is challenging. The present study identified the angiographic features of the fistulous point and evaluated the match with the microcatheter tip and fistulous point.& para;& para;Materials and methods: An analysis cohort of 45 consecutive patients with CS-dAVF treated by TVE was analyzed retrospectively. The patients were divided into two groups, 22 matches and 23 mismatches, according to whether the fistulous point and the microcatheter tip were in the same compartment of the cavernous sinus (CS). The angiographic findings, the location of the fistulas, the position of the microcatheter tips, the volume of embolic materials, complications, and outcomes were assessed.& para;& para;Results: Several angiographic features defined the fistulous points, such as the early opacified area, jellyfish-like sign, changes in the density of the contrast medium, the juncture of different arterial supply, enlarged feeders, and hand-injection angiograms. The fistulas were primarily in the posterosuperior portion of the CS (80%) and medial side (73.3%) according to the internal carotid artery. Both groups achieved effective TVE; the matched group required less embolic material than the mismatched group (p= 0.024). The patients with cranial nerve dysfunction (CND) required more embolic materials than others (p=0.032).& para;& para;Conclusion: The fistulous point in most of the CS-dAVFs could be isolated by careful analysis of the angiography images. The matching of the microcatheter tip and fistulous point in the same compartment of CS can reduce the dosage of embolic materials, and a low volume of embolic materials might cause fewer CND complications.
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出版当年[2017]版:
大类|4 区医学
小类|4 区临床神经病学4 区核医学
最新[2025]版:
大类|4 区医学
小类|4 区临床神经病学4 区核医学
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出版当年[2016]版:
Q4CLINICAL NEUROLOGYQ4RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3CLINICAL NEUROLOGYQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
第一作者机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China[2]Department of neurosurgery, aerospace center hospital, Haidian, Beijing, China
通讯作者:
通讯机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China[*1]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University Beijing Neurosurgical Institute, No. 6, Tiantan Xili, Dongcheng, Beijing, 100050, P.R. China.
推荐引用方式(GB/T 7714):
Guo Hui,Yin QianKun,Liu Peng,et al.Focus on the target: Angiographic features of the fistulous point and prognosis of transvenous embolization of cavernous sinus dural arteriovenous fistula[J].INTERVENTIONAL NEURORADIOLOGY.2018,24(2):197-205.doi:10.1177/1591019917751894.
APA:
Guo, Hui,Yin, QianKun,Liu, Peng,Guan, Ning,Huo, Xiaochuan&Li, Youxiang.(2018).Focus on the target: Angiographic features of the fistulous point and prognosis of transvenous embolization of cavernous sinus dural arteriovenous fistula.INTERVENTIONAL NEURORADIOLOGY,24,(2)
MLA:
Guo, Hui,et al."Focus on the target: Angiographic features of the fistulous point and prognosis of transvenous embolization of cavernous sinus dural arteriovenous fistula".INTERVENTIONAL NEURORADIOLOGY 24..2(2018):197-205