摘要
ObjectiveToretrospectivelystudyclinicalfeaturesanddiagnosticimagingofvasculogeneicpulsatiletin-nitus,andthefeasibilityandefficacyoftransvascularinterventionaltreatmentforthiscondition.MethodsDatafrom82casesofarterialorvenouspulsatiletinnituswerereviewed.DSAcharacteristicsandpossiblepathophysiologicalmechanismsofpulsatiletinnitusinthesecaseswerestudied.Diagnosesinthisgroupin-cludedintracranialarterovenousfistula(AVF)(n=3),spontaneousskullbaseduralAVF(n=16),traumaticca-rotid-cavernoussinusfistula(n=5),subclavianarterystenosis(n=2),internalcarotidarterystenosis(n=3),in-tracranialarterialstenosis(n=1),kinkedand/orelongatedvertebrobasilarartery(n=2),venoussinusdivertic-ulum(n=2),venoussinusstenosisonthedominantdrainageside(n=46)andoccipitalsinusstenosis(n=2).Treatmentsincludedembolizationandstentingusingcoils,NBCAglue,Baltballoons,self-expansionstentsandintracranialmicro-stentsviaeitherthefemoralarteryorfemoralvein.ResultsProceduresweresuc-cessfulinallcaseswithnosurgery-relatedcomplications.Tinnitusdisappearedwithin2daysafterthepro-cedureinallcases.Followupdurationwas5-36months.Recurrenceoccurredin4casesofarterialtinnituswithin3monthsfollowingtheinitialprocedure,whichimprovedafterrevisionembolizationorsymptommanagement.Therewasnorecurrenceinvenoustinnituscasesfollowingstentplasticorstent-coilingembo-lizationtreatments.ConclusionsEndovascularinterventionprovidesanewapproachtothediagnosisandtreatmentofintractablepulsatiletinnitus.Itisalsoeffectiveindifferentiatingandstudyingothertypesoftinnitus.
出版日期
2014年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
