直接型颈内动脉海绵窦瘘夹闭术后发生间接型海绵窦硬脑膜动静脉瘘。病例报告。
Development of indirect cavernous dural arteriovenous fistula after trapping for direct carotid cavernous fistula. A case report.
作者信息
Yoshino H, Ishihara H, Oka F, Kato S, Suzuki M
机构信息
Department of Neurosurgery, Yamaguchi University School of Medicine, Yamaguchi, Japan.
出版信息
Interv Neuroradiol. 2011 Mar;17(1):104-7. doi: 10.1177/159101991101700116. Epub 2011 Apr 29.
Abstract
A 60-year-old man with direct carotid cavernous fistula (CCF) due to a motor vehicle accident underwent internal carotid artery trapping following high-flow external carotid to internal carotid artery bypass (EC-IC bypass). Follow-up angiography revealed ipsilateral complex indirect cavernous arteriovenous fistula. Although the traumatic indirect CCF angioarchitecture differs from cavernous-sinus dural arteriovenous fistula (CS-DAVF), the present indirect fistula was similar to the latter. Complex indirect CCF can occur after treatment of direct CCF caused by severe head injury.
摘要
一名因机动车事故导致直接型颈内动脉海绵窦瘘（CCF）的60岁男性，在进行高流量颈外动脉至颈内动脉搭桥术（EC-IC搭桥）后接受了颈内动脉闭塞术。随访血管造影显示同侧复杂型间接性海绵窦动静脉瘘。尽管创伤性间接CCF的血管结构与海绵窦硬脑膜动静脉瘘（CS-DAVF）不同，但目前的间接瘘与后者相似。复杂型间接CCF可发生在严重头部损伤导致的直接CCF治疗后。
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