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目的 探讨经血管治疗头面、脊柱复杂型的动静脉瘘的可行性。方法 ６ 例复杂型动静脉瘘（头面部３ 例，脊柱３ 例） 患者，施行血管内治疗，其中３ 例用可脱性球囊和颗粒联合栓塞，１ 例为单纯弹簧圈栓塞，１ 例为单纯球囊栓塞，１ 例为单纯颗粒栓塞。栓塞后即刻行血管造影，半年后随访ＭＲＩ。结果 ６ 例中４ 例获完全闭塞，２ 例大部闭塞。４ 例半年后随访ＭＲＩ未显示瘘道再通。结论 经血管治疗是颅面、脊柱动静脉瘘的可供选择的治疗方法，不同栓塞材料的联合应用可提高复杂型动静脉瘘的完全闭塞率
Objective To investigate the feasibility of transvascular treatment of arteriovenous fistula with complex facial and spine. Methods Six patients with complicated arteriovenous fistula (3 cases of head and face, 3 cases of spine) were treated with endovascular therapy. Three cases were treated with detachable balloon and granule combined embolization, one was simple coil embolization, and one case was A simple balloon embolization, a simple pellet embolization. Immediate embolization after angiography, six months follow-up MRI. Results of 6 cases, 4 cases were completely occluded, 2 cases were mostly occluded. Follow-up MRI showed no fistula recanalization in 4 cases after 6 months. Conclusion Transvascular treatment is an alternative treatment for craniofacial and spinal arteriovenous fistulas. The combination of different embolic materials can increase the complete occlusion rate of complex arteriovenous fistula