LeRoux P D, Elliott J P, Eskridge J M, Mayberg M
Department of Neurological Surgery, University of Washington Medical School, Seattle 98195.
Surg Neurol. 1990 Oct;34(4):260-5. doi: 10.1016/0090-3019(90)90138-f.
A patient with a traumatic carotid cavernous fistula was successfully treated by a direct surgical approach after failed endovascular balloon occlusion. Surgical identification of the fistula and confirmation of its obliteration were achieved with intraoperative angiography. Dissection, control of bleeding, and carotid blood flow were facilitated by temporary balloon occlusion of the cavernous carotid artery. The combination of surgery, intraoperative angiography, and interventional radiologic techniques may improve the management of intracavernous vascular lesions.
一名创伤性颈动脉海绵窦瘘患者在血管内球囊闭塞术失败后，通过直接手术方法成功治愈。术中血管造影实现了瘘口的手术识别及其闭塞的确认。海绵窦段颈动脉的临时球囊闭塞有助于解剖、控制出血和颈动脉血流。手术、术中血管造影和介入放射技术的联合应用可能会改善海绵窦内血管病变的治疗。
