Ophthalmologic outcome of transvenous embolization of spontaneous carotid-cavernous fistulas: a preliminary report
Ophthalmologic outcome of transvenous embolization of spontaneous carotid-cavernous fistulas: a preliminary report
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自发性颈动脉海绵窦瘘经静脉栓塞的眼科结果：初步报告
DOI：
10.1023/a:1006409826007
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发表时间：
2004
影响因子：
1.6
通讯作者：
Y. Cheung
中科院分区：
文献类型：
--
作者：
C. Liang;J. Michon;K. Cheng;Chi;Y. Cheung
我们提供了四名经静脉栓塞治疗自发性颈动脉海绵窦瘘患者的眼科结果的初步报告。其中一种是直接型，另一种是间接型硬脑膜分流术。在间接硬脑膜分流术中，传统的经动脉栓塞很少能在短时间内实现临床完全治愈。所有病例均存在眼科障碍，需要进行血管内介入治疗。我们通过股静脉和岩下窦/眼上静脉对海绵窦进行导管插入术，然后用古列米可拆卸弹簧圈进行栓塞。除一名患者有残留双侧第六神经麻痹外，所有四名患者均获得了临床和血管造影的改善，随访期为 2 至 16 个月。经静脉入路为自发性颈动脉海绵窦瘘的治疗提供了有效且安全的替代方案。
We give a preliminary report of theophthalmologic outcome offour patients with transvenousembolization studied for their spontaneouscarotid-cavernous fistulas. One ofthem is a direct type while threeof them are indirect dural shunts. Inindirect dural shunts, traditionaltransarterial embolization rarelyachieves a complete clinical cure in ashort period of time. All caseshad an ophthalmologic disturbancejustified for endovascularintervention. We performed catheterization,and subsequently embolization withGuglielmi Detachable coils, tothe cavernous sinus via the femoralvein and inferior petrosal sinus/superiorophthalmic vein. All fourpatients achieved clinical andangiographic improvement with afollow-up period range from twoto sixteen months except for onepatient who had residual bilateralsixth nerve palsy. The transvenousapproach offers an effective andsafe alternative for the management ofspontaneous carotid-cavernous fistula.