Management of direct carotid-cavernous sinus fistulas with the use of ethylene-vinyl alcohol (Onyx) only: preliminary results.
Management of direct carotid-cavernous sinus fistulas with the use of ethylene-vinyl alcohol (Onyx) only: preliminary results.
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DOI：
10.3171/2009.6.jns09440
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发表时间：
2010-03
影响因子：
4.1
通讯作者：
M. Zenteno;J. Santos-Franco;V. Rodríguez-Parra;J. Balderrama;Y. Aburto-Murrieta;S. Vega-Montesinos;Ángel Lee
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文献类型：
--
作者：
M. Zenteno;J. Santos-Franco;V. Rodríguez-Parra;J. Balderrama;Y. Aburto-Murrieta;S. Vega-Montesinos;Ángel Lee
目的：所谓的直接颈动脉海绵窦瘘（CCF）通常通过可脱性球囊或弹簧圈来闭塞分流，同时保留颈动脉。很少使用液体栓塞剂，特别是据作者所知，在索引出版物中从未报告过使用Onyx作为唯一栓塞剂。方法作者描述了5例创伤后CCF患者的病例系列，其中Onyx栓塞被前瞻性用作唯一的治疗策略。结果4例患者在手术结束时获得完全闭塞，其余1例患者在6个月随访评价时病变随后闭塞。结论：随着治疗直接CCF的血管内技术不断发展，这种使用Onyx作为唯一栓塞材料的新方法似乎有望治疗这些病变。
OBJECT So-called direct carotid-cavernous fistulas (CCFs) are commonly treated by detachable balloons or coils to occlude the shunt while sparing the carotid artery. Liquid embolic agents have been rarely used, and in particular, to the authors' knowledge, the use of Onyx as the sole agent has never been reported in an indexed publication. METHODS The authors describe a case series of 5 patients with posttraumatic CCF in whom embolization with Onyx was prospectively used as the sole strategy of management. RESULTS Complete occlusion was obtained at the end of the procedure in 4 cases, and the lesion in the remaining patient subsequently occluded at the 6-month follow-up evaluation. CONCLUSIONS As endovascular techniques for treatment of direct CCFs continue to evolve, this novel approach with Onyx as the sole embolic material seems promising in treating these lesions.