- 미세도관을 이용한 뇌동정맥기형의 초선택적 색전술 : 성공률과 합병증의 평가
- ㆍ 저자명
- 김대순
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1993년|29권 4호|pp.634-640 (7 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Recently. accumulation of knowledge on cerebrovascular microanatomy and its hemodynamics and advances in interventional equipments, especially microcatheters, could make superselective embolization feasible for curative purpose with complete embolization as well as for an adjunctive preoperative procedures. The authors performed superselective angiography and embolization with Tracker microcatheter in 25 procedures out of 15 patients with brain arteriiovenous malformations (AVMs). Complete embolization was done in 7 prtients (46.7%), nearly complete embolization in 6 patients (40.0%) and partial embolization in 2 patients (13.3%). The overall curative success rate of embolization was 86.7%. Five patients showed no complication at all. Mild complications, however, were observed in 7 patients (46.7%). Severe complications at all. Mild complications, however, were observed in 7 patinets (46.7%) Severe complications such as AVM or Tracker rupture were observed in 3 patients (20%). In conclusion, superselections embolization is and effective method for the treatment of brain AVMs, and multiple session embolizations could reduce the complication rate and increase the success rate.