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題名 | Endovascular Embolization of Arteriovenous Fistulas of the External Carotid Artery=經血管內栓塞治療外頸動脈動靜脈瘻管 |
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作者 | 羅兆寶; 凌憬峰; 鄧木火; 陳行素; 郭萬祐; 張遵; | 書刊名 | 中華醫學雜誌 |
卷期 | 61:5 1998.05[民87.05] |
頁次 | 頁260-266 |
分類號 | 416.26 |
關鍵詞 | 血管內栓塞治療; 外頸動脈動靜脈瘻管; Endovascular embolization; External carotid arteriovenous fistula; |
語文 | 英文(English) |
中文摘要 | 背景外頸動脈靜脈�硎猻陘@不常見之病灶,國內對此�硎牏妒v療經驗有限。 本篇研究的目的為評估使用經血管內栓塞治療外頸動脈動靜脈�硎牏妙蘆G及其安全性。 方法在過去7年間,我們使用經血管內栓塞治療13例外頸動脈動靜脈�硎煄A13例中有10例男 性,3例女性。年齡分佈從9歲至46歲。平均年齡為27歲,患者最常見之症狀為耳鳴、頭頸部 有雜音、震動感及眼睛症狀。中硬腦膜動脈是�硎瑋怞n發之外頸動脈分枝,其次為內頜動脈。 13例中有10例�硎猻O因頭部外傷所致,另3例為自發性。使用液態沾黏劑做栓塞治療的有11 例,2例使用囊球。 結果所有13例均完全治癒。治療後有3例產生暫時性頭痛,無其他併發症產生。臨床追蹤 3個月至84月(平均37個月)�硎犑△L復發。 結論血管內栓塞治療此�硎瑏g証實為安全及有效的。我們認為該法是治療此�硎瑋抸u先的選 擇。 |
英文摘要 | Background. External carotid arteriovenous fistulas (AVFs) are rare and most hospitals have limited experience with their management. This study was designed to evaluate the effectiveness and safety of endovascular embolization of AVFs of external carotid artery under angiographic control. Methods. A series of 13 patients with AVFs involving the branches of the external carotid artery, all treated with endovascular embolization, were reviewed. There were 10 males and three females ranging in age from nine to 46 years, with a mean of 27 years. The most frequent presenting symptoms were pulsatile tinnitus, followed by bruit and/or thrill, ocular problems, headache and a pulsatile mass in the neck. The middle meningeal artery was most often involved, followed by the internal maxillary artery and the occipital artery. The AVFs were caused by trauma in 10 patients and occurred spontaneously in three. N-butyl-2-cyanoacrylate was used to embolize the fistula in 11 patients and a detachable balloon was used in two. Results. All the patients were cured and no significant complications were observed. No recurrence was noted after a clinical follow-up of three months to seven years (mean, 37 months). Conclusions. Endovascular embolization proved to be a safe and effective procedure. It should be the treatment of choice for repair of external carotid AVFs. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。