Traumatic Carotid-Cavernous Fistula: Endovascular Treatment with Onyx and Coils
Traumatic Carotid-Cavernous Fistula: Endovascular Treatment with Onyx and Coils
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DOI：
10.1177/159101990501100409
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发表时间：
2005-12
影响因子：
1.7
通讯作者：
C. Baccin;C. Campos;R. Abicalaf;L. Kanashiro;M. Bolcato;S. S. Lima-S.;R. Piske
中科院分区：
文献类型：
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作者：
C. Baccin;C. Campos;R. Abicalaf;L. Kanashiro;M. Bolcato;S. S. Lima-S.;R. Piske
颈动脉海绵状瘘管（CCF）大多发生在创伤后，是由于海绵状窦内的颈内动脉（ICA）撕裂所致。采用静脉入路的血管内技术的改进，在大多数情况下，当可拆卸的球囊无法重建和修复ICA的撕裂时，可以保留颈内动脉的通畅。这个病例描述了一个巨大的海绵窦和岩下窦的动脉瘤性扩张。我们联合线圈和缟玛瑙来封闭病变，保存和修复瘘管的大孔。
Carotid cavernous fistulas (CCF) are mostly post-traumatic and are due to a tear of the internal carotid artery (ICA) inside the cavernous sinus. The improvement of endovascular techniques with venous approach enables the preservation of internal carotid artery patency in most cases when detachable balloons fail in order to reconstruct and repair the tear in the ICA. The case described here has a giant aneurysmatic dilatation of the cavernous sinus and inferior petrosal sinus. We associate coils and Onyx to occlude the lesion preserving and repairing the large hole of the fistula.