血管内介入治疗硬脑膜动静脉瘘的新进展
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摘要
硬脑膜动静脉瘘是较常见的颅内血管畸形,目前尚无理想治疗方案,且易并发脑出血。数字减影血管造影(DSA)技术可清楚显示瘘口发生部位、供血动脉及引流静脉,是诊断硬脑膜动静脉瘘的金标准。本研究着重介绍新型材料Onyx在血管内栓塞治疗中的应用、疗效与注意事项,主要探讨血管内介入治疗硬脑膜动静脉瘘的研究新进展。
Dural arteriovenous fistula is a common intracranial vascular malformation, which may contribute to complicated cerebral bleeding and has no available cure. The Digital Subtraction Angiography(DSA) is a golden tool for diagnosing dural arteriovenous fistula because it can present the malformation clearly and precisely, and even from the feeding arteries, draining veins, and to the blood flow.In this study, we aim to evaluate the clinical efficacy of the novel material Onyx that is used in the intravascular embolization of dural arteriovenous Fistula, and explore the advances in the intravascular interventional embolization treatment of dural arteriovenous Fistulae.
Dural arteriovenous fistula is a common intracranial vascular malformation, which may contribute to complicated cerebral bleeding and has no available cure. The Digital Subtraction Angiography(DSA) is a golden tool for diagnosing dural arteriovenous fistula because it can present the malformation clearly and precisely, and even from the feeding arteries, draining veins, and to the blood flow.In this study, we aim to evaluate the clinical efficacy of the novel material Onyx that is used in the intravascular embolization of dural arteriovenous Fistula, and explore the advances in the intravascular interventional embolization treatment of dural arteriovenous Fistulae.
引文
1 Miyagishima T,Hara T,Inoue M,et al.Pontine venous congestion due to dural arteriovenous fistula of the cavernous sinus:Case report and review of the literature[J].Surg Neurol Int,2012,3:53.doi:10.4103/2152-7806.96076.
2 Aguilar Pérez M,Kühn A,Miloslavski E,et al.Cavernous redirection of venous drainage after partial transvenous coil occlusion of a sigmoid sinus DAVF:coil mass retrieval with flexible cysto-urethroscopy grasping forceps:a technical note[J].Interv Neuroradiol,2011,17(2):203-207.
3 Oh JT,Chung SY,Lanzino G,et al.Intracranial dural arteriovenous fistulas:clinical characteristics and management based on location and hemodynamics[J].J Cerebrovasc Endovasc Neurosurg,2012,14(3):192-202.doi:10.7461/jcen.2012.14.3.192.
4 Wachter D,Hans F,Psychogios MN,et al.Microsurgery can cure most intracranial dural arteriovenous fistulae of the sinus and non-sinus type[J].Neurosurg Rev,2011,34(3):337-345.doi:10.1007/s10143-011-0318-5.
5 Lv X,Jiang C,Li Y,et al.Intraarterial and intravenous treatment of transverse/sigmoid sinus dural arteriovenous fistulas[J].Interv Neuroradiol,2009,15(3):291-300.
6 Kim MJ,Shin YS,Ihn YK,et al.Transvenous embolization of cavernous and paracavernous dural arteriovenous fistula through the facial vein:Report of 12 cases[J].Neurointervention,2013,8(1):15-22.doi:10.5469/neuroint.2013.8.1.15.
7 Mack WJ,Gonzalez NR,Jahan R,et al.Endovascular management of anterior cranial fossa dural arteriovenous malformations:A technical report and anatomical discussion[J].Interv Neuroradiol,2011,17(1):93-103.
8 Gupta A,Periakaruppan A.Intracranial dural arteriovenous fistulas:A Review[J].Indian J Radiol Imaging,2009,19(1):43-48.doi:10.4103/0971-3026.45344.
9 Georgiadis AL,Lanzino G,Janjua N,et al.A case of dural arteriovenous fistula with retrograde intracranial venous flow[J].JVasc Interv Neurol,2008,1(1):9-13.
10曾红,王虹虹.脑栓塞的诊治[J].中国临床医生,2011,39(6):16-18.
11 Akbari SH,Reynolds MR,Kadkhodayan Y,et al.Hemorrhagic complications after prasugrel(Effient)therapy for vascular neurointerventional procedures[J].J Neurointerv Surg,2013,5(4):337-343.doi:10.1136/neurintsurg-2012-010334.
12 Lv X,Jiang C,Li Y,et al.Percutaneous transvenous embolization of intracranial dural arteriovenous fistulas with detachable coils and/or in combination with Onyx[J].Interv Neuroradiol,2008,14(4):415-427.
13 Klurfan P,Gunnarsson T,Shelef I,et al.Transvenous treatment of cranial dural arteriovenous fistulas with hydrogel coated coils[J].Interv Neuroradiol,2006,12(4):319-326.
14 Rossitti S.Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations:The hydraulic hypothesis[J].Surg Neurol Int,2013,4:42.doi:10.4103/2152-7806.109657.
15 Hyogo T,Taki W,Negoro M,et al.Japanese society of neuroendovascular treatment specialist qualification system.Six years’experience and introduction of an animal model examination[J].Interv Neuroradiol,2008,14(3):235-240.
16 Gao P,Zhu YQ,Ling F,et al.Nonischemic cerebral venous hypertension promotes a pro-angiogenic stage via HIF-1 downstream genes and leukocyte-derived MMP-9[J].J Cereb Blood Flow Metab,2009,29(8):1482-1490.
17 Eddleman CS,Jeong H,Cashen TA,et al.Advanced noninvasive imaging of spinal vascular malformations[J].Neurosurg Focus,2009,26(1):E9.doi:10.3171/FOC.2009.26.1.E9.
18 Li PM,Fischbein NJ,Do HM,et al.Dural arteriovenous fistula following translabyrinthine resection of cerebellopontine angle tumors:report of two cases[J].Skull Base Rep,2011,1(1):51-58.doi:10.1055/s-0031-1275634.
19 Yoshioka T,Kitagawa N,Yokoyama H,et al.Selective transvenous coil embolization of dural arteriovenous fistula:A report of three cases[J].Interv Neuroradiol,2007,13(Suppl 1):123-130.
20扬铭,马廉亭.硬脑膜动静脉瘘治疗的新进展[J].中国临床神经外科杂志,2007,12(5):314-318.
21 Kiyosue H,Tanoue S,Okahara M.Recurrence of dural arteriovenous fistulas in another location after selective transvenous coil embolization:report of two cases[J].AJNR Am J Neuroradiol,2002,23(4):689-692.
22 Renowden S.Interventional neuroradiology[J].J Neurol Neurosurg Psychiatry,2005,76(Suppl 3):iii48-iii63.
23 Arai Y,Ishii H,Handa Y,et al.Dural arteriovenous fistula within the hypoglossal canal successfully treated by transvenous embolization:case report[J].Interv Neuroradiol,2004,10(1):59-62.
24 Klurfan P,Gunnarsson T,Shelef I,et al.Transvenous treatment of cranial dural arteriovenous fistulas with hydrogel coated coils[J].Interv Neuroradiol,2006,12(4):319-326.
25陆林其,盛罗平,李季林.CT呈混合密度影的硬脑膜外血肿的急症处理[J].中国临床医生,2009,11:50-51.
26 Henderson JB,Zarghouni M,Hise JH,et al.Dementia caused by dural arteriovenous fistulas reversed following endovascular therapy[J].Proc(Bayl Univ Med Cent),2012,25(4):338-340.
27 Goddard AJ,Khangure MS.Multiple dural arteriovenous fistulas.Radiologic progression and endovascular cure.Case report[J].Interv Neuroradiol,2002,8(2):183-191.
28 Ha JG,Jeong HW,In HS,et al.Transvenous embolization of cavernous sinus dural arteriovenous fistula using the direct superior ophthalmic vein approach:a case report[J].Neurointervention,2011,6(2):100-103.doi:10.5469/neuroint.2011.6.2.100.
29 Ansari SA,Lassig JP,Nicol E,et al.Transarterial embolization of a cervical dural arteriovenous fistula:presenting with subarachnoid hemorrhage[J].Interv Neuroradiol,2006,12(4):313-318.
30 Miyachi S,Okamoto T,Kobayashi N,et al.Nagoya university training system for neuroendovascular therapists[J].Interv Neuroradiol,2004,10(Suppl 1):103-106.
31 Rossitti S.Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations:The hydraulic hypothesis[J].Surg Neurol Int,2013,4:42.doi:10.4103/2152-7806.109657.
32 Layton KF.Embolization of an intracranial dural arteriovenous fistula using ultrasound-guided puncture of a pericranial venous pouch[J].Proc(Bayl Univ Med Cent),2009,22(4):332-334.
33 Park ES,Jung YJ,Yun JH,et al.Intraosseous arteriovenous malformation of the sphenoid bone presenting with orbital symptoms mimicking cavernous sinus dural arteriovenous fistula:a case report[J].J Cerebrovasc Endovasc Neurosurg,2013,15(3):251-254.doi:10.7461/jcen.2013.15.3.251.
34 Shen SC,Chen WH,Chen SY,et al.Temporary clamping of bilateral external carotid arteries for surgical excision of a complex dural arteriovenous fistula[J].Surg Neurol Int,2014,5:10.doi:10.4103/2152-7806.125780.
35 Tirakotai W,Benes L,Kappus C,et al.Surgical management of dural arteriovenous fistulas with transosseous arterial feeders involving the jugular bulb[J].Neurosurg Rev,2007,30(1):40-49.
36 Dammann P,Breyer T,Wrede KH,et al.Treatment of complex neurovascular lesions:an interdisciplinary angio suite approach[J].Ther Adv Neurol Disord,2014,7(1):60-70.doi:10.1177/1756285613496861.
37 Aixut Lorenzo S,Tomasello Weitz A,Blasco Andaluz J,et al.Transvenous approach to intracranial dural arteriovenous fistula(Cognard V):a treatment option:A case report[J].Interv Neuroradiol,2011,17(1):108-114.
38 Gupta R,Miyachi S,Matsubara N,et al.A unique type of dural arteriovenous fistula at confluence of sinuses treated with endovascular embolization:a case report[J].Neurointervention,2013,8(1):34-40.doi:10.5469/neuroint.2013.8.1.34.
39 Cooper CJ,Said S,Nunez A,et al.Dural arteriovenous fistula discovered in patient presenting with recent head trauma[J].Am J Case Rep,2013,14:444-448.doi:10.12659/AJCR.889610.
40 Cabral De Andrade G,Alves HP,Parente R,et al.Spontaneous isolated dural arteriovenous fistula of the cavernous sinus:endovascular approach via the foramen ovale:A technical note[J].Interv Neuroradiol,2012,18(4):458-462.
41 Kim YW,Kang DH,Hwang YH,et al.Unusual MRI findings of dural arteriovenous fistula:Isolated perfusion lesions mimicking TIA[J].BMC Neurol,2012,12:77.doi:10.1186/1471-2377-12-77.
42 Jagadeesan BD,Delgado Almandoz JE,Moran CJ,et al.Accuracy of susceptibility-weighted imaging for the detection of arteriovenous shunting in vascular malformations of the brain[J].Stroke,2011,42(1):87-92.doi:10.1161/STROKEAHA.110.584862.
43 Katsaridis V.Treatment of dural arteriovenous fistulas[J].Current Treatment Options in Neurology,2009,11(1):35-40.
44 Kiyosue H,Hori Y,Okahara M,et al.Treatment of intraeranial dural arteriovenous fistulas:current strategies based on location and hemodynamics,and alternative techniques of trans-catheter embolization[J].Radiographics,2004,24(6):1637-1653.
45 Saraf R,Shrivastava M,Kumar N,et al.Embolization of cranial dural arteriovenous fistulae with ONYX:Indications,techniques,and outcomes[J].Indian J Radiol Imaging,2010,20(1):26-33.doi:10.4103/0971-3026.59748.
46 Amiridze N,Zoarski G,Darwish R,et al.Embolization of a cavernous sinus dural arteriovenous fistula with onyx via direct puncture of the cavernous sinus through the superior orbital fissure:asystole resulting from the trigeminocardiac reflex.a case report[J].Interv Neuroradiol,2009,15(2):179-184.
47 Cognard C,Januel AC,Silva Jr NA.Endovascular treatment of intracranial dural arteriovenous fistulas,with cortical venous drainage:new management using Onyx[J].AJNR,2008,29(2):235-241.
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62 Murphy M1,Van Gompel JJ.Medullary venous hypertension secondary to a petrous apex dural arteriovenous fistula:a case report[J].Case Rep Neurol,2012,4(3):187-193.doi:10.1159/000343945.
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2 Aguilar Pérez M,Kühn A,Miloslavski E,et al.Cavernous redirection of venous drainage after partial transvenous coil occlusion of a sigmoid sinus DAVF:coil mass retrieval with flexible cysto-urethroscopy grasping forceps:a technical note[J].Interv Neuroradiol,2011,17(2):203-207.
3 Oh JT,Chung SY,Lanzino G,et al.Intracranial dural arteriovenous fistulas:clinical characteristics and management based on location and hemodynamics[J].J Cerebrovasc Endovasc Neurosurg,2012,14(3):192-202.doi:10.7461/jcen.2012.14.3.192.
4 Wachter D,Hans F,Psychogios MN,et al.Microsurgery can cure most intracranial dural arteriovenous fistulae of the sinus and non-sinus type[J].Neurosurg Rev,2011,34(3):337-345.doi:10.1007/s10143-011-0318-5.
5 Lv X,Jiang C,Li Y,et al.Intraarterial and intravenous treatment of transverse/sigmoid sinus dural arteriovenous fistulas[J].Interv Neuroradiol,2009,15(3):291-300.
6 Kim MJ,Shin YS,Ihn YK,et al.Transvenous embolization of cavernous and paracavernous dural arteriovenous fistula through the facial vein:Report of 12 cases[J].Neurointervention,2013,8(1):15-22.doi:10.5469/neuroint.2013.8.1.15.
7 Mack WJ,Gonzalez NR,Jahan R,et al.Endovascular management of anterior cranial fossa dural arteriovenous malformations:A technical report and anatomical discussion[J].Interv Neuroradiol,2011,17(1):93-103.
8 Gupta A,Periakaruppan A.Intracranial dural arteriovenous fistulas:A Review[J].Indian J Radiol Imaging,2009,19(1):43-48.doi:10.4103/0971-3026.45344.
9 Georgiadis AL,Lanzino G,Janjua N,et al.A case of dural arteriovenous fistula with retrograde intracranial venous flow[J].JVasc Interv Neurol,2008,1(1):9-13.
10曾红,王虹虹.脑栓塞的诊治[J].中国临床医生,2011,39(6):16-18.
11 Akbari SH,Reynolds MR,Kadkhodayan Y,et al.Hemorrhagic complications after prasugrel(Effient)therapy for vascular neurointerventional procedures[J].J Neurointerv Surg,2013,5(4):337-343.doi:10.1136/neurintsurg-2012-010334.
12 Lv X,Jiang C,Li Y,et al.Percutaneous transvenous embolization of intracranial dural arteriovenous fistulas with detachable coils and/or in combination with Onyx[J].Interv Neuroradiol,2008,14(4):415-427.
13 Klurfan P,Gunnarsson T,Shelef I,et al.Transvenous treatment of cranial dural arteriovenous fistulas with hydrogel coated coils[J].Interv Neuroradiol,2006,12(4):319-326.
14 Rossitti S.Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations:The hydraulic hypothesis[J].Surg Neurol Int,2013,4:42.doi:10.4103/2152-7806.109657.
15 Hyogo T,Taki W,Negoro M,et al.Japanese society of neuroendovascular treatment specialist qualification system.Six years’experience and introduction of an animal model examination[J].Interv Neuroradiol,2008,14(3):235-240.
16 Gao P,Zhu YQ,Ling F,et al.Nonischemic cerebral venous hypertension promotes a pro-angiogenic stage via HIF-1 downstream genes and leukocyte-derived MMP-9[J].J Cereb Blood Flow Metab,2009,29(8):1482-1490.
17 Eddleman CS,Jeong H,Cashen TA,et al.Advanced noninvasive imaging of spinal vascular malformations[J].Neurosurg Focus,2009,26(1):E9.doi:10.3171/FOC.2009.26.1.E9.
18 Li PM,Fischbein NJ,Do HM,et al.Dural arteriovenous fistula following translabyrinthine resection of cerebellopontine angle tumors:report of two cases[J].Skull Base Rep,2011,1(1):51-58.doi:10.1055/s-0031-1275634.
19 Yoshioka T,Kitagawa N,Yokoyama H,et al.Selective transvenous coil embolization of dural arteriovenous fistula:A report of three cases[J].Interv Neuroradiol,2007,13(Suppl 1):123-130.
20扬铭,马廉亭.硬脑膜动静脉瘘治疗的新进展[J].中国临床神经外科杂志,2007,12(5):314-318.
21 Kiyosue H,Tanoue S,Okahara M.Recurrence of dural arteriovenous fistulas in another location after selective transvenous coil embolization:report of two cases[J].AJNR Am J Neuroradiol,2002,23(4):689-692.
22 Renowden S.Interventional neuroradiology[J].J Neurol Neurosurg Psychiatry,2005,76(Suppl 3):iii48-iii63.
23 Arai Y,Ishii H,Handa Y,et al.Dural arteriovenous fistula within the hypoglossal canal successfully treated by transvenous embolization:case report[J].Interv Neuroradiol,2004,10(1):59-62.
24 Klurfan P,Gunnarsson T,Shelef I,et al.Transvenous treatment of cranial dural arteriovenous fistulas with hydrogel coated coils[J].Interv Neuroradiol,2006,12(4):319-326.
25陆林其,盛罗平,李季林.CT呈混合密度影的硬脑膜外血肿的急症处理[J].中国临床医生,2009,11:50-51.
26 Henderson JB,Zarghouni M,Hise JH,et al.Dementia caused by dural arteriovenous fistulas reversed following endovascular therapy[J].Proc(Bayl Univ Med Cent),2012,25(4):338-340.
27 Goddard AJ,Khangure MS.Multiple dural arteriovenous fistulas.Radiologic progression and endovascular cure.Case report[J].Interv Neuroradiol,2002,8(2):183-191.
28 Ha JG,Jeong HW,In HS,et al.Transvenous embolization of cavernous sinus dural arteriovenous fistula using the direct superior ophthalmic vein approach:a case report[J].Neurointervention,2011,6(2):100-103.doi:10.5469/neuroint.2011.6.2.100.
29 Ansari SA,Lassig JP,Nicol E,et al.Transarterial embolization of a cervical dural arteriovenous fistula:presenting with subarachnoid hemorrhage[J].Interv Neuroradiol,2006,12(4):313-318.
30 Miyachi S,Okamoto T,Kobayashi N,et al.Nagoya university training system for neuroendovascular therapists[J].Interv Neuroradiol,2004,10(Suppl 1):103-106.
31 Rossitti S.Pathophysiology of increased cerebrospinal fluid pressure associated to brain arteriovenous malformations:The hydraulic hypothesis[J].Surg Neurol Int,2013,4:42.doi:10.4103/2152-7806.109657.
32 Layton KF.Embolization of an intracranial dural arteriovenous fistula using ultrasound-guided puncture of a pericranial venous pouch[J].Proc(Bayl Univ Med Cent),2009,22(4):332-334.
33 Park ES,Jung YJ,Yun JH,et al.Intraosseous arteriovenous malformation of the sphenoid bone presenting with orbital symptoms mimicking cavernous sinus dural arteriovenous fistula:a case report[J].J Cerebrovasc Endovasc Neurosurg,2013,15(3):251-254.doi:10.7461/jcen.2013.15.3.251.
34 Shen SC,Chen WH,Chen SY,et al.Temporary clamping of bilateral external carotid arteries for surgical excision of a complex dural arteriovenous fistula[J].Surg Neurol Int,2014,5:10.doi:10.4103/2152-7806.125780.
35 Tirakotai W,Benes L,Kappus C,et al.Surgical management of dural arteriovenous fistulas with transosseous arterial feeders involving the jugular bulb[J].Neurosurg Rev,2007,30(1):40-49.
36 Dammann P,Breyer T,Wrede KH,et al.Treatment of complex neurovascular lesions:an interdisciplinary angio suite approach[J].Ther Adv Neurol Disord,2014,7(1):60-70.doi:10.1177/1756285613496861.
37 Aixut Lorenzo S,Tomasello Weitz A,Blasco Andaluz J,et al.Transvenous approach to intracranial dural arteriovenous fistula(Cognard V):a treatment option:A case report[J].Interv Neuroradiol,2011,17(1):108-114.
38 Gupta R,Miyachi S,Matsubara N,et al.A unique type of dural arteriovenous fistula at confluence of sinuses treated with endovascular embolization:a case report[J].Neurointervention,2013,8(1):34-40.doi:10.5469/neuroint.2013.8.1.34.
39 Cooper CJ,Said S,Nunez A,et al.Dural arteriovenous fistula discovered in patient presenting with recent head trauma[J].Am J Case Rep,2013,14:444-448.doi:10.12659/AJCR.889610.
40 Cabral De Andrade G,Alves HP,Parente R,et al.Spontaneous isolated dural arteriovenous fistula of the cavernous sinus:endovascular approach via the foramen ovale:A technical note[J].Interv Neuroradiol,2012,18(4):458-462.
41 Kim YW,Kang DH,Hwang YH,et al.Unusual MRI findings of dural arteriovenous fistula:Isolated perfusion lesions mimicking TIA[J].BMC Neurol,2012,12:77.doi:10.1186/1471-2377-12-77.
42 Jagadeesan BD,Delgado Almandoz JE,Moran CJ,et al.Accuracy of susceptibility-weighted imaging for the detection of arteriovenous shunting in vascular malformations of the brain[J].Stroke,2011,42(1):87-92.doi:10.1161/STROKEAHA.110.584862.
43 Katsaridis V.Treatment of dural arteriovenous fistulas[J].Current Treatment Options in Neurology,2009,11(1):35-40.
44 Kiyosue H,Hori Y,Okahara M,et al.Treatment of intraeranial dural arteriovenous fistulas:current strategies based on location and hemodynamics,and alternative techniques of trans-catheter embolization[J].Radiographics,2004,24(6):1637-1653.
45 Saraf R,Shrivastava M,Kumar N,et al.Embolization of cranial dural arteriovenous fistulae with ONYX:Indications,techniques,and outcomes[J].Indian J Radiol Imaging,2010,20(1):26-33.doi:10.4103/0971-3026.59748.
46 Amiridze N,Zoarski G,Darwish R,et al.Embolization of a cavernous sinus dural arteriovenous fistula with onyx via direct puncture of the cavernous sinus through the superior orbital fissure:asystole resulting from the trigeminocardiac reflex.a case report[J].Interv Neuroradiol,2009,15(2):179-184.
47 Cognard C,Januel AC,Silva Jr NA.Endovascular treatment of intracranial dural arteriovenous fistulas,with cortical venous drainage:new management using Onyx[J].AJNR,2008,29(2):235-241.
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