神經(jīng)介入治療病例集萃

目錄 第Ⅰ部分 動(dòng)脈瘤和蛛網(wǎng)膜下腔出血 病例1        破裂基底動(dòng)脈尖動(dòng)脈瘤的栓塞.............................................................................. 1 病例2        破裂前交通動(dòng)脈動(dòng)脈瘤的栓塞.............................................................................. 8 病例3        伴蛛網(wǎng)膜下腔出血的多發(fā)動(dòng)脈瘤........................................................................ 13 病例4        未破裂頸內(nèi)動(dòng)脈動(dòng)脈瘤的栓塞............................................................................ 19 病例5        球囊輔助栓塞破裂寬頸前交通動(dòng)脈動(dòng)脈瘤.......................................................... 25 病例6        支架輔助栓塞多發(fā)寬頸后交通動(dòng)脈動(dòng)脈瘤.......................................................... 30 病例7        動(dòng)脈瘤并發(fā)癥管理：近端血管機(jī)械性痙攣.......................................................... 36 病例8        動(dòng)脈瘤并發(fā)癥管理：圍手術(shù)期動(dòng)脈瘤破裂.......................................................... 41 病例9        動(dòng)脈瘤并發(fā)癥管理：圍手術(shù)期血栓形成.............................................................. 47 病例10      蛛網(wǎng)膜下腔出血誘發(fā)的血管痙攣的管理.............................................................. 54 病例11      形成部分血栓的巨大動(dòng)脈瘤的管理..................................................................... 61 病例12      椎動(dòng)脈夾層動(dòng)脈瘤的栓塞................................................................................... 69 病例13      小腦下前動(dòng)脈遠(yuǎn)端動(dòng)脈瘤的栓塞........................................................................ 76 病例14      大腦中動(dòng)脈遠(yuǎn)端動(dòng)脈瘤的栓塞............................................................................ 82   第Ⅱ部分 腦動(dòng)靜脈畸形 病例15      未破裂軟膜動(dòng)靜脈畸形的動(dòng)脈栓塞..................................................................... 87 病例16      未破裂軟膜動(dòng)靜脈畸形的部分針對(duì)性栓塞.......................................................... 93 病例17      未破裂軟膜動(dòng)靜脈畸形的放射線外科栓塞.......................................................... 99 病例18      腦動(dòng)靜脈畸形急性破裂出血伴動(dòng)脈瘤的栓塞..................................................... 106 病例19      未破裂軟膜動(dòng)靜脈畸形腦積水的處理............................................................... 113 病例20      軟膜管狀動(dòng)靜脈畸形的栓塞............................................................................. 118 病例21      發(fā)育異常靜脈的栓塞........................................................................................ 122 病例22      栓塞治療微型瘺（引流向進(jìn)展性的異常靜脈）................................................. 127   第Ⅲ部分 硬腦膜動(dòng)靜脈瘺 病例23      硬膜外型硬腦膜動(dòng)靜脈瘺的動(dòng)脈栓塞............................................................... 133 病例24      篩骨硬腦膜動(dòng)靜脈瘺的動(dòng)脈栓塞...................................................................... 138 病例25      經(jīng)動(dòng)脈栓塞橫竇眼動(dòng)靜脈瘺............................................................................. 143 病例26      經(jīng)靜脈栓塞橫竇眼動(dòng)靜脈瘺............................................................................. 149 病例27      在硬腦膜竇水平經(jīng)靜脈通過形成血栓治療硬腦膜動(dòng)靜脈瘺................................ 155 病例28      經(jīng)靜脈栓塞髁匯合處的動(dòng)靜脈瘺...................................................................... 160 病例29      經(jīng)靜脈栓塞海綿竇動(dòng)靜脈瘺............................................................................. 165 病例30      多發(fā)硬腦膜動(dòng)靜脈瘺........................................................................................ 171   第Ⅳ部分 頭頸部血管病變                                                                                                          病例31      經(jīng)動(dòng)脈栓塞下頜骨動(dòng)靜脈瘺............................................................................. 177 病例32      直接穿刺結(jié)合經(jīng)動(dòng)脈栓塞頭皮動(dòng)靜脈畸形........................................................ 181 病例33      經(jīng)皮穿刺注射博來霉素治療面部靜脈血管畸形................................................. 186 病例34      經(jīng)皮穿刺注射乙醇治療面部靜脈血管畸形........................................................ 190 病例35      經(jīng)動(dòng)脈針對(duì)性栓塞面部血管瘤.......................................................................... 195   第Ⅴ部分 腫瘤 病例36      圍手術(shù)期經(jīng)動(dòng)脈針對(duì)性栓塞腦膜瘤................................................................... 201 病例37      圍手術(shù)期經(jīng)動(dòng)脈針對(duì)性栓塞幼年血管纖維瘤..................................................... 206 病例38      圍手術(shù)期栓塞頸動(dòng)脈體瘤................................................................................. 210 病例39      圍手術(shù)期栓塞聽神經(jīng)瘤.................................................................................... 216 病例40      圍手術(shù)期經(jīng)動(dòng)脈栓塞脊髓血管母細(xì)胞瘤............................................................ 222 病例41      圍手術(shù)期栓塞高血管行椎體轉(zhuǎn)移瘤................................................................... 228   第Ⅵ部分 外傷  病例42      球囊栓塞創(chuàng)傷性頸動(dòng)脈海綿竇瘺...................................................................... 233 病例43      彈簧圈栓塞創(chuàng)傷性頸動(dòng)脈海綿竇瘺................................................................... 239 病例44      頸動(dòng)脈破裂...................................................................................................... 245 病例45      創(chuàng)傷性頸內(nèi)動(dòng)脈動(dòng)脈瘤的球囊閉塞試驗(yàn)............................................................ 250 病例46      經(jīng)動(dòng)脈針對(duì)性栓塞治療鼻出血.......................................................................... 256   第Ⅶ部分 卒中 病例47      急性缺血性腦卒中動(dòng)脈內(nèi)tPA血栓溶解............................................................. 263 病例48      使用取栓器對(duì)急性腦卒中機(jī)械溶栓................................................................... 269 病例49      使用可回收支架對(duì)急性腦卒中機(jī)械溶栓............................................................ 276 病例50      有癥狀的頸內(nèi)動(dòng)脈狹窄行支架輔助血管成形術(shù)................................................. 282 病例51      術(shù)后頸內(nèi)動(dòng)脈狹窄支架置入............................................................................. 288 病例52      使用自膨式支架行顱內(nèi)血管重建...................................................................... 295 病例53      椎動(dòng)脈狹窄的球囊輔助支架治療...................................................................... 301 病例54      鎖骨下動(dòng)脈盜血綜合征.................................................................................... 308 病例55      顱內(nèi)靜脈竇血栓形成的直接溶栓...................................................................... 313   第Ⅷ部分 兒童血管介入 病例56      經(jīng)靜脈栓塞大腦大靜脈動(dòng)靜脈畸形................................................................... 319 病例57      伴遺傳性出血性毛細(xì)血管擴(kuò)張的軟膜動(dòng)靜脈瘺的栓塞....................................... 326 病例58      小兒腦動(dòng)脈瘤的處理........................................................................................ 332 病例59      經(jīng)動(dòng)脈栓塞硬腦膜動(dòng)靜脈瘺............................................................................. 337   第Ⅸ部分 脊髓血管介入 病例60      硬脊膜動(dòng)靜脈瘺：成功的經(jīng)動(dòng)脈栓塞............................................................... 343 病例61      硬脊膜動(dòng)靜脈瘺：經(jīng)動(dòng)脈栓塞失敗................................................................... 350 病例62      有瘺型脊髓血管畸形：使用液體栓塞材料治療................................................. 355 病例63      有瘺型脊髓血管畸形：使用彈簧圈栓塞............................................................ 361 病例64      血管球或病灶型脊髓血管畸形：使用液體栓塞材料治療................................... 367 病例65      球囊栓塞硬脊膜動(dòng)靜脈瘺................................................................................. 374   第Ⅹ部分 脊髓經(jīng)皮治療 病例66      X線監(jiān)測(cè)經(jīng)皮穿刺椎體活組織檢查.................................................................... 379 病例67      脊柱壓縮性骨折的椎體成形術(shù).......................................................................... 384 病例68      脊柱壓縮性骨折的椎體后凸成形術(shù)................................................................... 392 病例69      多發(fā)性骨髓瘤的多級(jí)椎體后凸成形術(shù)............................................................... 400 病例70      脊柱壓縮性骨折高頻椎體后凸成形術(shù)............................................................... 406 病例71      多發(fā)性骨髓瘤高頻椎體后凸成形術(shù)................................................................... 411 病例72 聯(lián)合關(guān)節(jié)腔注射 416