Department of Neurological Surgery, Thomas Jefferson University Hospital, 909 Walnut Street, 3rd Floor, Philadelphia, PA 19107, USA.
Neurosurg Clin N Am. 2009 Oct;20(4):447-52. doi: 10.1016/j.nec.2009.07.013.
Carotid-cavernous fistulae are abnormal arterial communications within the cavernous sinus. Endovascular obliteration is the mainstay therapy for the definitive treatment of these lesions. Several approaches have been described. These include transarterial or transvenous embolization with balloons, coils, particles, or covered stents, and arterial sacrifice. The preferred technique is based on the fistula type (direct or indirect), microanatomy, chronicity, and the extent of the arterial defect.
海绵窦内动脉-海绵窦瘘是一种异常的动脉交通。血管内闭塞是这些病变的主要治疗方法。已经描述了几种方法。这些方法包括通过动脉或静脉用球囊、线圈、颗粒或覆膜支架进行栓塞,以及动脉牺牲。首选的技术基于瘘的类型(直接或间接)、微血管解剖、慢性程度和动脉缺损的程度。