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创伤性颈动脉海绵窦瘘的血管内栓塞治疗
引用本文:张占普,武文元,刘海波,马庆海,窦长武,富春雨,高坤,贾广志,李建. 创伤性颈动脉海绵窦瘘的血管内栓塞治疗[J]. 内蒙古医学院学报, 2007, 29(2): 97-99
作者姓名:张占普  武文元  刘海波  马庆海  窦长武  富春雨  高坤  贾广志  李建
作者单位:1. 内蒙古医学院附属医院,神经外科,内蒙古,呼和浩特,010050
2. 内蒙古医学院附属医院,介入科,内蒙古,呼和浩特,010050
摘    要:目的:探讨创伤性颈动脉海绵窦瘘血管内栓塞治疗的方法及效果.方法:20例病人,栓塞治疗23次.在局麻或全麻下,采用股动脉入路,用可脱性球囊栓塞17例,微弹簧圈栓塞2例,可脱性球囊及微弹簧圈栓塞1例,因球囊泄漏而再栓塞2例.结果:20例病人一次栓塞成功17例,二次栓塞成功3例.颈内动脉通畅率80%(16/20).经随访,无并发症及死亡病例发生.结论:创伤性颈动脉海绵窦瘘经血管内栓塞治疗,是一种安全、可靠的治疗方法.

关 键 词:创伤  颈动脉海绵窦瘘  血管内栓塞治疗
文章编号:1004-2113(2007)02-0097-03
收稿时间:2006-12-22
修稿时间:2007-03-03

ENDOVASCULAR EMBOLOTHERAPY OF TRAUMATIC CAROTID-CAVERNOUS FISTULA
ZHANG Zhan- pu, WU Wen - yuan, LIU Hai - bo,et al.. ENDOVASCULAR EMBOLOTHERAPY OF TRAUMATIC CAROTID-CAVERNOUS FISTULA[J]. Acta Academiae Medicinae Neimongol, 2007, 29(2): 97-99
Authors:ZHANG Zhan- pu   WU Wen - yuan   LIU Hai - bo  et al.
Affiliation:Department of Neurosurgery Affiliated Hospital, Inner Mongolia Medical College, Hohhot 010050 China
Abstract:Objective:To estimate the method and effects of endovascular embolotherapy on traumatic carotid-cavernous fistula(TCCF).Methods:23 procedures of embolotherapy were performed in 20 cases with TCCF.Under local or general anesthesia and using femoral artery route,17 cases were pegged with balloons,and 2 cases were pegged with micro-coils,balloons and micro-coils were used in 1 case,and 2 cases were pegged in second attempt because of leaking ballons.Results:17 cases were pagged successfully at the first time,and 3 cases were pagged successfully for twice. The rate of internal carotid artery patency was 80%(16/20).There was no complication and none died during follow-up.Conclusion:It is a safe and reliable method of endovascular embolotherapy on TCCF.
Keywords:trauma, carotid -cavernous fistula   endovascular embolotherapy
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