摘要
目的探讨使用新型国产非黏附性液体胶EVAL(山东赛克赛斯公司)栓塞脑和脊髓动静脉畸形(AVM)的疗效。方法从2006年7月至2007年12月,经微导管技术应用EVAL胶栓塞20例脑AVM,3例脊髓AVM。畸形团的位置:8例位于大脑重要功能区,8例位于大脑深部组织区,4例位于小脑半球。颈、胸、腰髓畸形团各1例。畸形团的大小:直径〈3cm7例,3cm~6cm 10例,〉6cm6例。结果3例畸形团完全消失,5例畸形团消失在90%以上,11例消失50%~90%,4例消失在50%以下。栓塞后2例有短暂神经功能障碍。微导管均成功撤出。结论非黏附性EVAL胶不粘管,可较多地注入畸形团内,用于栓塞脑和脊髓AVM安全、有效。
Objective To report our experience in treatment of cerebral or spinal arteriovenous malformations(AVMs)using a new liquid embolic material,EVAL(Success Inc.,Shandong,China).Method From July 2006 to December 2007,EVAL was used to treat 20 cases of cerebral AVMs and 3 cases of spinal AVMs.The malformations in 8 cases were located in functional areas,8 cases in deep cerebral areas,4 cases in eerebellar hemispheres,one case in cervical spinal cord,one case in thoracic cord,and one case in lumbar cord.The size of AVMs was smaller than 3 cm in 7 cases,3-6 cm in 10 cases,and larger than 6 cm in 6 eases.Results Nidus occlusion was complete in 3 cases,〉90%in 5 cases,50%N 90%in 11 cases,and〈50%in the remaining 4 cases.There were two transient postoperative neurological deficits.There was no microeatheter glued to the injection sites.Conclusions Because of its non-adhesive function,EVAL is a safety and satisfactory embolie material in the treatment of cerebral and spinal AVMs.
作者
贺红卫
梁传声
吴中学
王忠诚
李佑祥
姜除寒
HE Hong-wei;LANG Chuan-sheng;WU Zhong-xue;WANG Zhong-cheng;LI You-xiang;JIANG Chu-han(Beijing Neurosurgical Institute,Beijing 100050,China)
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第1期23-26,共4页
Chinese Journal of Neurosurgery
关键词
动静脉畸形
血管内治疗
非黏附性栓塞材料
EVAL
Arteriovenous malformations
Endovascular treatment
Non-adhesive liquid embolic agent
EVAL
