Peeters F L, Kröger R
AJR Am J Roentgenol. 1979 Apr;132(4):599-606. doi: 10.2214/ajr.132.4.599.
Fistulas between the cavernous sinus and the carotid artery occur either after trauma or spontaneously. Unilateral exophthalmos is invariably the most conspicuous symptom. Until recently, treatment consisted of some method of occluding the carotid artery involved. Interventional catheter techniques have since been developed that use either Gelfoam embolization or released balloons. The results seem very promising, but long-term results of these new techniques are not yet available. Carotid-cavernous sinus fistulas may be dural or direct, each requiring a different interventional technique. Theredore, it is essential to determine the type involved by selective internal and external carotid angiography. This paper discusses 19 patients with carotid-cavernous fistulas, four of whom were successfully treated by catheter techniques. Gelfoam embolization was used in one case, and in three cases the fistula was closed with the aid of a balloon.
海绵窦与颈动脉之间的瘘管可在创伤后或自发形成。单侧眼球突出始终是最明显的症状。直到最近，治疗方法包括某种闭塞受累颈动脉的方法。此后开发了介入导管技术，可使用明胶海绵栓塞或释放球囊。结果似乎很有前景，但这些新技术的长期结果尚不可用。颈动脉海绵窦瘘可能是硬脑膜性的或直接性的，每种类型都需要不同的介入技术。因此，通过选择性颈内动脉和颈外动脉血管造影来确定所涉及的类型至关重要。本文讨论了19例颈动脉海绵窦瘘患者，其中4例通过导管技术成功治疗。1例使用明胶海绵栓塞，3例借助球囊封闭瘘管。
