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Naročanje gradiva za izposojo na dom
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  • Endovaskularno zdravljenje spontane duralne arteriovenske fistule = Endovascular treatment of spontaneous dural arteriovenous fistula
    Šeruga, Tomaž
    Background. Endovascular treatment of spontaneous dural arteriovenous fistula (DAVF) with microparticles. Methods. A 42-year old man motical spontaneous left sided bruit six month before treatment. ... External carotid angiography showed a direct DAVF. Superselective angiography of left occipital artery specified fistula between small meningeal branch of left occipital artery and left sinus transversus. Fistula was drained by ipsilateral transverse sinus, that means Grade I DAVF. A Tracker 18 microcatether was placed into distal part of the occipital artery and embolisation was performed with microparticles. Results. After the embolisation of meningeal branch of the occipital artery, bruit dimished and disapeared already during the procedure. After the closure of this part of fistula, we noticed two smaller feeders arising from midle meningeal artery also supplying the fistula. They were not present before the oclusion of the mean feeder. Also thse two small arteries were embolised. Control angiography, at the en dof treatment, did not show anyabnormalities and there was no fistula. Conclusions. Endovascular treatmentof Grade I DAVF is atherapy of choice for this kind of fistula. Only in a minimal percent of Grade I fistulas treatment by transfemoral aproach andsuperselective embolisation is unsuccessful. Direct microsurgical therapy of simptomatous DAVF is also effective, but is of higher risk especialy in case of massive bleeding.
    Vir: Bilten DVRT : glasilo Društva Višjih radioloških tehnikov Slovenije. - ISSN 1318-3141 (Letn. 68, št. 1, jan. 1999, str. 5-8)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 9359833

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