Endovascular treatment of direct carotid cavernous fistulae: a pictorial review
Endovascular treatment of direct carotid cavernous fistulae: a pictorial review
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DOI：
10.1007/s00234-006-0132-x
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发表时间：
2006-11-01
期刊：
影响因子：
2.8
通讯作者：
Thomas, Bejoy
中科院分区：
文献类型：
--
作者：
Gupta, Arun K.;Purkayastha, Sukalyan;Thomas, Bejoy
前言根据Barrow的分类，直接颈动脉海绵窦瘘(CCF)属于A型瘘。血管内治疗这些病变具有挑战性。方法本综述的目的是评价直接CCF的血管内治疗。我们还描述了与手术相关的技术、症状和并发症，并报告了我们治疗的患者的长期随访。结果89例直接CCF患者被治疗。所有患者均行基线头颅CT或MR检查。治疗包括经动脉球囊或弹簧圈栓塞术。术后随访1个月，此后每隔6个月随访一次。使用可脱性球囊治疗瘘管79例。有12个瘘管不能通过瘘口通过球囊，这些瘘管均采用经动脉栓塞术治疗。治疗后1个月疗效评定：治愈79例(88.8%)，显效9例(10.1%)，稳定1例(1.1%)。
Introduction Direct carotid-cavernous fistulae (CCFs) are type A fistulae according to Barrow's classification. Endovascular treatment of these lesions is challenging.Methods The purpose of this review was to evaluate the endovascular treatment of direct CCFs. We also describe the technique, symptomatology and complications associated with the procedure and report on the long-term follow-up in our treated patients.Results A total of 89 patients with a direct CCF were treated. All patients had baseline brain CT or MR imaging. Treatment comprised transarterial balloon or coil embolizations. The patients were followed up at 1 month and then every 6 months thereafter. Detachable balloons were used in 79 fistulae. In 12 fistulae the balloon could not be negotiated through the fistula and these fistulae were treated with transarterial coil occlusion. Clinical outcomes of the treated patients evaluated at 1 month were: 79 patients (88.8%) cured, 9 (10.1%) significantly improved, 1 (1.1%) remaining static.Conclusion Endovascular treatment of direct CCFs is safe and effective and results in long-term cure.