颈内动脉-海绵窦瘘的血管内治疗

目的探讨颈内动脉－海绵窦瘘的血管内治疗效果。方法回顾分析了１９９０年１月以来经血管内治疗的４３例（６０例次）颈内动脉－海绵窦瘘。男性３７例,女性６例。外伤性３９例,自发性４例。单纯闭塞瘘口３１例,颈内动脉闭塞１２例;颈内动脉通畅率７２．１％。结果治愈３９例（９０．７％）,好转４例（９．３％）,并发偏瘫１例（２．３％）。结论球囊栓塞应作为颈内动脉－海绵窦瘘首选疗法。

Endovascular treatment of carotid-cavernous sinus fistulae

OBJECTIVE: To treat carotid-cavernous sinus fistulae mmunications between 43 patients with endovascular procedure. METHOD: Of the 43 patients 37 were male and 6 female. Traumatic and spontaneous CCF were noted in 39 and 4 patients respectively. 36 patients with CCF were given ICA alone, both internal and external carotid arteries in 7. Fistulae occlusion in 31 patients and ICA obliteration in 12 patients were achieved with transarterial detachable balloon technique. External carotid feeding arteries were embolized with silk suture in 7 patients. RESULT: Angiographic and clinical cure wer obtained in 39 patients and improved in 4. One patient was complicated by hemiplegia postoperatively. CONCLUSION: Endovascular balloon embolization is the first method of choice in dealing with carotid-cavernous fistulae.