Men Süleyman, Oztürk Halil, Hekimoğlu Baki, Sekerci Zeki
Department of Radiology, Dokuz Eylul University, Medical School, Inciralti, Izmir, Turkey.
J Neurosurg. 2003 Sep;99(3):584-6. doi: 10.3171/jns.2003.99.3.0584.
The authors report on a case in which a carotid-cavernous fistula and an associated cavernous-carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial-transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.
作者报告了一例48岁男性在机动车事故后发生颈内动脉海绵窦瘘及相关海绵窦段颈内动脉夹层的病例。通过经动脉-经静脉联合入路，采用弹簧圈栓塞治疗该瘘。对夹层的颈动脉段采用球囊扩张支架治疗，恢复了正常管径和半球血流。瘘未复发，术后颈动脉广泛通畅表明支架置入是治疗创伤性颅内动脉夹层的有效方法。
