Kết quả can thiệp nội mạch điều trị rò động mạch cảnh xoang hang chấn thương bằng vòng xoắn kim loại: nghiên cứu 74 trường hợp

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Tác giả: Văn Khoa Lê, Văn Phước Lê, Phương Thảo Nghiêm, Huỳnh Nhật Tuấn Nguyễn, Minh Hoàng Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Tạp chí y học việt nam (tổng hội y học việt nam), 2021

Mô tả vật lý: 324-328

Bộ sưu tập: Metadata

ID: 489237

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Describe some clinical features, imaging characteristics and treatment results by Endovascular treatment (ET) on patient with Traumatic carotid cavernous fistula (TCCF). Methods(:) Case series study design, retrospective medical records of 74 patients with TCCFs, who was treated by ET with detachable coils at Choray hospital from 01/2019 to 06/2021. The efficacy and safety were evaluated by variants(:) Complete or partial occlusion, clinical improvenment, the preservation of the internal carotid artery (ICA), procedural complications and recurrence at the 3-month follow-up after ET.( )Results(:) Patients with clinical improvement achieved 73/74 patients (98.6%), of which complete occlusion was 67 patients, partial occlusion in 6 patients and treatment failure in 1 patient. The preservation of the ICA was observed in 69/74 (93.2%) cases. Procudre-related complications were recorded with 2 cases of transient ischemic attack, 1 case with coils herniation into the ICA and 1 case with left-side weakness. No cases of recurrence or death were reported within 3 months of clinical follow-up after ET. Conclusions(:) Endovascular treatment with detachable coils is a highly safe and effective method to treat traumatic carotid cavernous fistula. Detachable coils may increase the ability to preserve the internal common artery.Mô tả một số đặc điểm lâm sàng, đặc điểm chẩn đoán hình ảnh và kết quả điều trị can thiệp nội mạch trên bệnh nhân rò động mạch cảnh xoang hang chấn thương (RĐMCXHCT). Phương pháp(:) Thiết kế nghiên cứu loạt ca, hồi cứu bệnh án của 74 bệnh nhân RĐMCXHCT được điều trị bằng can thiệp nội mạch (CTNM) dùng vòng xoắn kim loại tại Bệnh viện Chợ Rẫy từ 01/2019 đến 06/2021. Hiệu quả và độ an toàn được đánh giá bằng các biến số(:) tắc hoàn toàn, tắc bán phần, cải thiệm lâm sàng, bảo tồn động mạch cảnh, biến chứng thủ thuật, tái phát trong 3 tháng theo dõi sau can thiệp. Kết quả(:) bệnh nhân (BN) có cải thiên lâm sàng đạt được 73/74 BN (98,6%), trong đó tắc hoàn toàn 67 BN, tắc bán phần 6 BN và ca thất bại điều trị 1 BN. Bảo tồn được động mạch cảnh là 69/74 BN (93,2%). Biến chứng liên quan thủ thuật với 2 BN thiếu máu não thoáng qua, 1 BN có hình ảnh xâm nhập coil vào lòng động mạch cảnh và 1 BN yếu nửa người bên trái. Không có trường hợp nào tái phát hay tử vong trong 3 tháng theo dõi sau can thiệp. Kết luận(:) Can thiệp nội mạch dùng vòng xoắn kim loại là một phương pháp an toàn và hiệu quả cao để điều trị RĐMCXHCT. Phương pháp này tăng khả năng bảo tồn động mạch cảnh.

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