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| Prognostic analysis and complications of traumatic carotid cavernous fistulas after treatment with detachable balloon and／or coil embolization | |
| 引用本文： | 杨振九,李宏伟,吴良贵,郑俊宁,张佳栋,史锡文,楚功仁. Prognostic analysis and complications of traumatic carotid cavernous fistulas after treatment with detachable balloon and／or coil embolization[J]. 中华创伤杂志(英文版), 2004, 7(5): 286-288 |
| 作者姓名： | 杨振九 李宏伟 吴良贵 郑俊宁 张佳栋 史锡文 楚功仁 |
| 作者单位： | [1]DepartmentofNeurosurgery,People＇sHospitalofShenzhenNanshan,Shenzhen518052,China. [3]DepartmentofNeurosurgery,People＇sHospitalofShenzhenBaoan,Shenzhen518101,China. [4]DepartmentofNeurosurgery,People＇sHospitalofHenanProvince,Zhengzhou450003,China. |
| 摘 要： | Objective : To explore the causes of the formation of traumatic carotid-cavernous fistulas and the therapeutic effect of detachable balloon and/or coil embolization and the prevention of its complications. Methods: From October, 1992 to March, 2002, 17 patients with traumatic carotid-cavernons fistulas were treated with detachable balloon and/or coil embolization in our hospital. The clinical data and imaging features of CT, MR and selective angiogram of these patients were analyzed. Results : One week after treatment with embolization, the clinical symptoms of the 17 patients were remitted, and optic cacophony, nystagmns, exophthalmos and dropsy of conjunctiva disappeared. Two patients manifested surgical complications, one patient died. Sixteen patients survived. They were all followed up for more than 2 years, which showed one patient had handicap in movement, and in one patient the signs and symptoms of traumatic carotid-cavernous fistulas reoccurred 2 months after treatment. Conclusions: The detachable balloon and/or coil embolization is safe and reliable. It is a good method to treat traumatic carotid-cavernous fistulas. |
| 关 键 词： | 并发症 创伤 颈动脉瘘 治疗 可分离气球 盘绕栓塞 运动障碍 |
Prognostic analysis and complications of traumatic carotid cavernous fistulas after treatment with detachable balloon and/or coil embolization |
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| YANG Zhen-jiu ,LI Hong-wei,WU Liang-gui,ZHENG Jun-ning,ZHANG Jia-dong,SHI Xi-wen and CHU Gong-ren. Prognostic analysis and complications of traumatic carotid cavernous fistulas after treatment with detachable balloon and/or coil embolization[J]. Chinese journal of traumatology, 2004, 7(5): 286-288 | |
| Authors: | YANG Zhen-jiu LI Hong-wei WU Liang-gui ZHENG Jun-ning ZHANG Jia-dong SHI Xi-wen CHU Gong-ren |
| Affiliation: | 1. Department of Neurosurgery, People's Hospital of Shenzhen Nanshan, Shenzhen 518052,China 2. Department of Neurosurgery, People's Hospital of Shenzhen Baoan, Shenzhen 518101, China 3. Department of Neurosurgery, People's Hospital of Henan Province, Zhengzhou 450003,China |
| Abstract: | Objective: To explore the causes of the formation of traumatic carotid-cavernous fistulas and the therapeutic effect of detachable balloon and/or coil embolization and the prevention of its complications. Methods: From October, 1992 to March, 2002, 17 patients with traumatic carotid-cavernous fistulas were treated with detachable balloon and/or coil embolization in our hospital. The clinical data and imaging features of CT, MR and selective angiogram of these patients were analyzed. Results: One week after treatment with embolization, the clinical symptoms of the 17 patients were remitted, and optic cacophony, nystagmus, exophthalmos and dropsy of conjunctiva disappeared. Two patients manifested surgical complications, one patient died. Sixteen patients survived. They were all followed up for more than 2 years, which showed one patient had handicap in movement, and in one patient the signs and symptoms of traumatic carotid-cavernous fistulas reoccurred 2 months after treatment. Conclusions: The detachable balloon and/or coil embolization is safe and reliable. It is a good method to treat traumatic carotid-cavernous fistulas. |
| Keywords: | Carotid-cavernous sinus fistula Endovascular therapy |
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