颈动脉海绵窦瘘的介入治疗

目的　评估介入性栓塞治疗颈内动脉 -海绵窦瘘 (carotid cavernous fistula,CCF)的临床疗效。方法　 6例颈内动脉 -海绵窦瘘患者 ,采用经皮股动脉径路、可脱球囊栓塞治疗。其中 1例伴颈外动脉 -海绵窦瘘患者 ,结合颈外动脉颗粒性栓塞。结果　 6例 CCF栓塞均获成功 ,其中 2例栓塞后保持颈内动脉通畅 ,另 4例结合同侧颈内动脉栓闭。本组无并发症发生。结论　 CCF的介入治疗创伤小、疗效好 ,是 CCF临床治疗的首选方法。

Interventional Treatment of Carotid Cavernous Fistula

Objective To evaluate the interventional therapeutic effect of carotid cavernous fistula (CCF).Methods 6 patients with CCF were embolized with detachable balloons via percutaneous transfemoral route, in one of them the affected external carotid artery was simultaneously blockaded with particles. Results Interventional embolizations were successfully performed in all 6 patients with CCF, of which the internal carotid artery was kept patent in 2 cases, whereas the ipsilateral carotid artery was sacrificed in other 4 patients. Conclusion Interventional therapy of CCF is micro invasive and very effective method, and the first choice CCF treatment.