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经皮血管内采用氰基丙烯酸异丁脂（ＩＢＣＡ）栓塞治疗３８例颅内动静脉畸形（ＡＶＭ）病人。其中８例达到１００％完全栓塞，栓塞面积大于７５％的１０例，大于５０％者１１例；余下９例栓塞面积小于５０％，１９例以出血为首发症状，１１例以癫痫为首发症状，６例神经功能障碍，２例以头痛为主要症状。栓塞术后发生并发症５例，占１３％，无死亡病例。本文讨论了超选插管技术问题、Ａｍｙｔａｌ试验假阴性、导管粘连及正常灌注压突破。
Thirty - eight patients with intracranial arteriovenous malformation (AVM) were treated with embolization of isocaproate (IBCA) in percutaneous vascular. Among them, 8 cases achieved 100% complete embolization, embolization area of more than 75% in 10 cases, more than 50% in 11 cases; the remaining 9 cases of embolization area less than 50%, 19 cases of bleeding as the first symptom, 11 cases of epilepsy as the first symptom, 6 cases of neurological dysfunction, 2 cases of headache as the main symptom. Complications occurred after embolization in 5 cases, accounting for 13%, no deaths. This article discusses superselective intubation techniques, Amytal test false negatives, ductal adhesions and normal perfusion pressure breakthroughs.