Kurata A, Miyasaka Y, Saegusa H, Fujii K, Kan S
Departments of Neurosurgery and Radiology, Kitasato University School of Medicine; Kanagawa, Japan.
Interv Neuroradiol. 1997 Mar 30;3(1):87-90. doi: 10.1177/159101999700300109. Epub 2001 May 15.
Transarterial detachable balloon embolisation has become a well established primary treatment of post-traumatic carotid cavernous fistula (CCF) (1-3). However, in some instances due to the complexity of the fistula, the treatment can be difficult or impossibile. A simple and useful technique using a non-detachable balloon catheter to easily navigate the riilcrocatheter into the fistula via the transarterial route is discussed in this paper. The non-detachable balloon catheter allows easy navigation of the micro catheter into the small hole fistula, and complete occlusion of the fistula was obtained using one interlocking detachable coil (IDC) in the draining veins. The method of using a non-detachable balloon catheter to navigate a micro catheter into a fistula is relatively easy via the transarterial route.
经动脉可脱性球囊栓塞术已成为创伤性颈内动脉海绵窦瘘(CCF)的一种成熟的主要治疗方法(1 - 3)。然而,在某些情况下,由于瘘口的复杂性,治疗可能会困难甚至无法进行。本文讨论了一种简单且有用的技术,即使用不可脱性球囊导管经动脉途径轻松将微导管送入瘘口。不可脱性球囊导管可使微导管轻松进入小孔径瘘口,并且通过在引流静脉中使用一个联锁可脱性弹簧圈(IDC)实现了瘘口的完全闭塞。经动脉途径使用不可脱性球囊导管引导微导管进入瘘口的方法相对容易。