硬脑膜动静脉瘘的介入治疗课件.ppt

硬脑膜动静脉瘘的介入治疗;概述;硬脑膜的解剖 DAVF形成的解剖学基础;;硬膜静脉窦的解剖;DAVF 供血动脉;病因;病因;脑静脉窦血栓形成?DAVF;“生理性动静脉交通”开放学说;肌源性自我调节障碍学说;肌源性自我调节障碍学说;肌源性自我调节障碍学说;血栓机化学说;脑静脉窦血栓形成学说的不足;分类;Figure Drawings illustrate a classification scheme for transverse-sigmoid sinus dural AVFs that is based on venous drainage patterns: Grade 1, antegrade sinus drainage without venous restriction or cortical venous reflux; Grade 2, antegrade and retrograde sinus drainage with or without cortical venous reflux; Grade 3, retrograde sinus drainage with cortical venous reflux; and Grade 4, cortical venous reflux only. ;病理;Figure 1a.??Drawings (a = lateral view, b = anteroposterior view) illustrate the most common locations of dural AVFs: 1 = cavernous sinus (CS) (20%-40% of cases), 2 = transverse-sigmoid sinus (TS, SS) (20%-60%), 3 = tentorium (12%-14%), 4 = superior sagittal sinus (SSS) (8%), and 5 = anterior fossa (2%-3%). IPS = inferior petrosal sinus, ISS = inferior sagittal sinus, JV = jugular vein, MS = marginal sinus, OS = occipital sinus, SPS = superior petrosal sinus. ;临床表现;　颅内杂音;头痛;　蛛网膜下腔出血;颅内压增高;中枢神经功能障碍;脊髓功能障碍;其他;诊断;诊断;诊断;诊断;总体治疗策略;保守治疗;手术治疗;放射治疗;血管内介入治疗;适应证;禁忌证;介入治疗--栓塞材料;介入治疗-入路;介入治疗--动脉入路;介入治疗--动脉入路;F/56y, 左眼红肿1年余，外伤后出现下肢DVT，抗凝治疗后2周出现;F/56y, 左眼红肿1年余，外伤后出现下肢DVT，抗凝治疗后2周出现;治疗前;M/52y, 右偏头痛半年余;介入治疗--静脉入路;介入治疗--静脉入路;经静脉入路栓塞;岩下窦途径;硬脑膜动静脉瘘（DAVF）;股V-岩下窦途径;股V-岩下窦途径;海绵窦内弹簧圈栓塞;海绵窦内弹簧圈栓塞;1 月后随访造影;6 月后随访造影;面静脉－眼上静脉途径;硬脑膜动静脉瘘的介入治疗;局部穿刺填塞硬脑膜窦;经血管治疗策略;经血管治疗策略;介入治疗--并发症;结束语;硬脑膜动静脉瘘的介入治疗;此课件下载可自行编辑修改，供参考！ 感谢您的支持，我们努力做得更好！