创伤性颈动脉海绵窦瘘的可脱性球囊栓塞治疗技术

目的探讨创伤性颈动脉海绵窦瘘的临床表现和血管内介入栓塞治疗效果。方法回顾性分析本组共32例创伤性颈动脉海绵窦瘘的临床表现,采用可脱性球囊微导管技术经股动脉途径闭塞颈内动脉破口处或破口处患侧颈内动脉主干。结果28例一次性治愈;4例术后16~48h因球囊发生早泄移位复发,经再次以可脱性球囊栓塞后治愈。本组有28例(87.5%)闭塞了瘘口,颈内动脉主干保持通畅;4例同时闭塞了瘘口及颈内动脉主干。27例获随访(术后6个月~5.2年),无复发。结论采用可脱性球囊栓塞技术是治疗创伤性颈动脉海绵窦瘘的首选方法。

Detachable balloon technique in the treatment of traumatic carotid-cavernous fistulas

Objective To discuss the clinical features and the effect of endovascular interventional embolization for traumatic carotid-cavernous fistulas (TCCF). Methods Retrospective research of interventional embolization for 32 cases of TCCF was conducted via femoral artery approach. With Seldinger technique adopted in the puncture of femoral artery, magic BD catheters combining with balloon were used to embolize the fistula or the internal carotid artery.Results All the cases were cured. The fistulas of 28 cases were occluded with patency of internal carotid artery (ICA) accounting for 87.5%, while ICA was occluded in 4 cases. Follow-up varied from 6 months to 5.2 years in 27 cases of the group. No one presented recurrence.Conclusion The detachable balloon technique is an optimal way for TCCF.