Morris P P
Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
AJNR Am J Neuroradiol. 1999 Jun-Jul;20(6):1107-9.
Endovascular treatment of carotid cavernous fistulas (CCFs) presents many technical difficulties and hazards, some unique to each patient. This report details some of the difficulties encountered in the treatment of a 63-year-old patient with a CCF and an ipsilateral internal carotid artery dissection. After failure of conventional techniques using a detachable balloon, complete closure of the CCF was achieved by transvenous coil embolization while the arterial lumen was protected by a nondetachable balloon catheter.
颈内动脉海绵窦瘘(CCF)的血管内治疗存在许多技术难题和风险,每个患者的情况都有其独特之处。本报告详细介绍了在治疗一名63岁患有CCF并伴有同侧颈内动脉夹层的患者时遇到的一些困难。在使用可脱性球囊的传统技术失败后,通过经静脉弹簧圈栓塞实现了CCF的完全闭塞,同时使用不可脱性球囊导管保护动脉腔。