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.
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