经静脉入路治疗海绵窦瘘：四例报告。
Cavernous sinus fistula treated through the transvenous approach: report of four cases.
机构信息
Service de neuroradiologie, CHU de Grenoble, 38043 Grenoble cedex 09, France.
出版信息
J Neuroradiol. 2009 Dec;36(5):265-9. doi: 10.1016/j.neurad.2009.01.002. Epub 2009 Feb 28.
PURPOSE
To describe transvenous embolization in four patients with indirect dural carotid cavernous fistulas (CCFs) via the inferior petrosal sinus (IPS) or superior ophthalmic vein (SOV), and their clinical outcomes.
METHODS
The CCF approach was performed after retrograde venous catheterization from the femoral vein to the cavernous sinus via the IPS (n=1) or SOV (n=3). SOV catheterization was possible without surgical intervention. All patients presented initially with typical clinical signs of CCF. Patients treated via the SOV presented with thrombosis of the IPS.
RESULTS
Catheterization and embolization were successful in all patients, with complete angiographic occlusion of the fistula. No early or late complications occurred. All patients presented with favorable clinical outcomes and complete recovery of ocular symptoms.
CONCLUSION
Retrograde transvenous embolization of CCF via the IPS, or SOV if the IPS is thrombosed, is a safe procedure with a good clinical outcome.
目的
描述通过岩下窦（IPS）或眼上静脉（SOV）对 4 例间接硬脑膜颈动脉海绵窦瘘（CCF）患者进行经静脉栓塞的方法，并分析其临床结果。
方法
经股静脉逆行静脉插管至海绵窦，通过 IPS（n=1）或 SOV（n=3）进行 CCF 入路。SOV 导管插入术无需手术干预即可进行。所有患者最初均表现出典型的 CCF 临床症状。通过 SOV 治疗的患者出现 IPS 血栓形成。
结果
所有患者的导管插入和栓塞均成功，瘘管完全血管造影闭塞。无早期或晚期并发症发生。所有患者的临床结果均良好，眼部症状完全恢复。
结论
通过 IPS 或 IPS 血栓形成时的 SOV 对 CCF 进行逆行经静脉栓塞是一种安全的操作方法，具有良好的临床效果。
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