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可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘
引用本文:肖绍文,张超元,杨雷霆,黄玮,冯大勤,黄祜鸿,梁裕盛.可脱性球囊栓塞治疗外伤性颈内动脉海绵窦瘘[J].临床放射学杂志,2000,19(10):648-649.
作者姓名:肖绍文  张超元  杨雷霆  黄玮  冯大勤  黄祜鸿  梁裕盛
作者单位:530027,南宁,广西医科大学第一附属医院神经外科
摘    要:目的 探讨外伤性颈内动脉海绵窦瘘(TCCF)的神经血管内介入治疗技术。材料与方法 应用法国Balt公司的同轴可脱性球囊技术,在数字减影(DSA)监视下,对12例TCCF患者施行可脱性球囊栓塞治疗。结果 9例患者成功地用球囊闭塞了颈内动脉瘘口,同时也保持了颈内动脉通畅;2例由于球囊进入瘘口困难,1例CCF瘘在,改行闭塞瘘口同时闭塞了颈内动脉,术后除1例失明未恢复外,其余病例临床症状完全消失。结论 可

关 键 词:外伤性颈内动脉海绵窦瘘  可脱性球囊  栓塞治疗

Embolization Treatment with Detachable Balloon for Traumatic Carotid Cavernous Fistulas
XIAO Shaowen,ZHANG Chaoyuan,YANG Lei tin,et al..Embolization Treatment with Detachable Balloon for Traumatic Carotid Cavernous Fistulas[J].Journal of Clinical Radiology,2000,19(10):648-649.
Authors:XIAO Shaowen  ZHANG Chaoyuan  YANG Lei tin  
Institution:XIAO Shaowen,ZHANG Chaoyuan,YANG Lei tin,et al. Department of Neurosurgery,No.1 Affiliated Hospital,Guangxi Medical University,Nanning,Guangxi Province 530027,P.R.China
Abstract:Objective To explore endovascular treatment technique for traumatic carotid cavernous fistulas (TCCF).Materials and Methods Twelve cases of TCCF were treated with co axial detachable balloon catheter (Balt Company, France) under DSA monitoring.Results TCCF was successfully embolized with carotid remaining patent in 9 patients. Both fistulous orifice and carotid were embolized in 3 cases, because the balloon catheter couldn't enter fistulous orifice (2 cases) or the fistulous orifice was too large (one case). After the treatment all the patients became symptom free except for one patient who remained blind.Conclusion Being less invasive, more safe and effective, endovascular embolization with detachable balloon is the best method for treating TCCF.
Keywords:Carotid vacernous fistulas  traumatic  Detachable balloon  Embolization therapy
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