Duncan Ian C, Fourie Pieter A
Unitas Interventional Unit, Centurion, South Africa.
J Endovasc Ther. 2003 Oct;10(5):882-6. doi: 10.1177/152660280301000506.
To describe the endovascular management of vertebrovertebral and caroticojugular fistulas in the same patient using a combination of endovascular techniques including covered stent placement in the high extracranial internal carotid artery.
A 22-year-old man presented with ipsilateral vertebrovertebral and caroticojugular fistulas at the C1 level several weeks after sustaining a solitary penetrating knife injury below the right ear. The right vertebral artery was sacrificed after a failed endovascular attempt to close the vertebrovertebral fistula. The caroticojugular fistula was treated with a self-expanding covered stent (Wallgraft) with exclusion of the fistula and preservation of flow through the carotid artery.
Preservation of the extracranial arteries should be the preferred goal of treatment in traumatic extracranial arteriovenous fistulas. The use of covered stents in the extracranial vessels can accomplish this goal.
描述在同一患者中使用包括在高颅外颈内动脉放置覆膜支架在内的多种血管内技术对椎-椎和颈-颈瘘进行血管内治疗。
一名22岁男性在右耳下方遭受单次穿透性刀伤数周后，在C1水平出现同侧椎-椎和颈-颈瘘。在血管内尝试闭合椎-椎瘘失败后，牺牲了右侧椎动脉。颈-颈瘘采用自膨式覆膜支架（Wallgraft）进行治疗，瘘口被封堵，同时保留了通过颈动脉的血流。
保留颅外动脉应是创伤性颅外动静脉瘘治疗的首选目标。在颅外血管中使用覆膜支架可以实现这一目标。
