【摘要】 目的探讨经前或后交通动脉逆行"瘘口孤立术"治疗难治性TCCF的可行性和安全性。方法5例难治性TCCF患者,行双侧股动脉插管,微导管经后交通动脉顺利到达瘘口远端,依序成功的实施了"瘘口孤立术"。结果5例患者均成功的实施了"瘘口孤立术",及时造影动静脉瘘消失,术后患者临床症状逐步好转,随访无一例复发。结论"瘘口孤立术"治疗部分难治性TCCF切实可行、安全有效。更多还原

【Abstract】 Objective To investigate the feasibility and security of the isolation of fistulae for difficult-cured traumatic carotid cavernous by the anterio or inferior communicating artery. Methods Five patients with difficult-cured TCCF including four males and one female. They were cathetered by both femoral arteries. Balloon-catheter directly attached to the near of fistulae and microcatheter conversely attached to the far of fistulae. Detachable balloons and micro coils were used to isolated the fistulae. Results Five patients were cured with fistulae isolation and angiography did not show remnants fistulae in time. Clinical signs and symptoms got better and better. During follows-up no one recurred. Conclusions The isolation of fistulae is a feasible and secure therapy for the difficult-cured traumatic direct carotid cavernous fistulae.更多还原