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液态栓塞剂Onyx治疗脑动静脉畸形

余文运

中国现代手术学杂志2011,Vol.15Issue(5):389-391,3.
中国现代手术学杂志2011,Vol.15Issue(5):389-391,3.

液态栓塞剂Onyx治疗脑动静脉畸形

A Nonadhesive Liquid Embolic Agent of Onyx for the Treatment of Cerebral Arteriovenous Malformations

余文运1

作者信息

  • 1. 湖南中医药大学第一附属医院神经外科,长沙410007
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摘要

Abstract

Objective To investigate the application and experience of the liquid embolic agent Onyx for the treatment of cerebral arteriovenous malformation (cAVM). Method From July 2006 to March 2011, the liquid embolic agent Onyx was used for the treatment of cAVM in 23 cases. The diameter of cAVM was less than 3cm in 7 cases, 3 ~ 6 cm in 12 cases, more than 6cm in 4 cases. The Seldinger technique was applied for the Onyx embolization. Results After the embolization of the cAVM, 5 cases got completely disappear, 8 cases got more than 90% embolization, 7 cases of 70% to 90% and 3 cases of 70% or less. There were 5 cases needed a second Onyx embolization and 8 patients needed postoperative adjuvant gamma knife treatment. One case occurred contralateral hemiplegia because of the remained intracranial hematoma. The other cases had no postoperative neurological dysfunction. Conclusion It is recommended of the Onyx liquid glue for the embolization for cAVM, with advantages of significant results, less trauma, quick recovery. But it should be noted of the correct use of embolization and the prevention of complications.

关键词

颅内动静脉畸形/栓塞,治疗性

Key words

intracranial arteriovenous malformations/embolization, therapeatic

分类

医药卫生

引用本文复制引用

余文运..液态栓塞剂Onyx治疗脑动静脉畸形[J].中国现代手术学杂志,2011,15(5):389-391,3.

中国现代手术学杂志

OACSTPCD

1009-2188

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