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栓塞治疗外伤性颈内动脉海绵窦瘘
Embolization for the Traumatic Carotid Cavernous Fistulas
【摘要】 目的:探讨外伤性颈内动脉海绵窦瘘(TCCF)的神经血管介入治疗技术。方法:应用法国Balt公司的可脱性球囊,在数字检影脑血管造影(DSA)监视下对32例TCCF患者施行可脱性球囊治疗,其中27例效果满意,另5例结合GDC弹簧圈,3例单纯用GDC弹簧圈栓塞治疗均取得满意的效果。结果:7例患者闭塞瘘口同时闭塞了颈内动脉,术后13例失明未恢复,其余病例治疗效果良好。结论:血管内治疗技术,尤其是可脱性球囊技术是目前治疗TCCF的最好方法,其具有损伤小、安全性高和疗效可靠的特点。
【Abstract】 Objective: To inverstigate the therapeutic value of the percutaneous transluminal embolization of traumatic carotid cavernous fistulas(TCCF). Methods: Using Seldinger method to puncture femoral artery we delivered Magic BD balloon to fistula through 8F guiding catheter.Detachabale balloon was used for intravascula embolism treatment in 27 cases,and GDC in 3 cases and in adittion to 5 cases were treated by detachable balloon integrated with GDC. Results: Thirty five cases were successfully treated by means of above methods. Conclusion: The detachable balloon technique through endoarterial route is a option of choice for the TCCF,The microcoils is an well alternative device when the orifice of the fistula is too small to allow entry of the balloon.
- 【文献出处】 江苏大学学报(医学版) ,Journal of Zhenjiang Medical College , 编辑部邮箱 ,2005年04期
- 【分类号】R651.15;
- 【下载频次】23