Debrun G M, Nauta H J, Miller N R, Drake C G, Heros R C, Ahn H S
Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Surg Neurol. 1989 Jul;32(1):3-10. doi: 10.1016/0090-3019(89)90028-1.
Among 143 carotid cavernous fistulae, 10 cases could not be successfully treated by standard endovascular techniques alone; some form of surgical assistance was required. The circumstances included incomplete closure of the fistula while the internal carotid artery was occluded, failure to occlude the fistula after both arterial and venous endovascular approaches, hairpin loop of the cervical portion of the internal carotid artery, failure of previous trapping procedures, and failure to cure spontaneous carotid cavernous fistulae of the dural type after embolization of the external carotid feeders. These ten patients were cured by combining a surgical procedure and an interventional technique.
在143例颈内动脉海绵窦瘘中，有10例仅采用标准血管内技术无法成功治疗，需要某种形式的手术辅助。这些情况包括在颈内动脉闭塞时瘘口未完全闭合、经动脉和静脉血管内途径均未能闭塞瘘口、颈内动脉颈部呈发夹样襻、既往的闭塞手术失败以及在栓塞颈外动脉供血支后未能治愈硬脑膜型自发性颈内动脉海绵窦瘘。这10例患者通过手术与介入技术相结合的方法得以治愈。
