Hanneken A M, Miller N R, Debrun G M, Nauta H J
Wilmer Ophthalmological Institute, Johns Hopkins Medical Institutions, Baltimore.
Arch Ophthalmol. 1989 Jan;107(1):87-92. doi: 10.1001/archopht.1989.01070010089033.
Four consecutive patients with carotid-cavernous sinus fistulas that could not be treated by the standard techniques of endoarterial balloon occlusion or embolization were successfully treated by advancement of a detachable balloon catheter through the ipsilateral superior ophthalmic vein. Under angiographic monitoring, the balloon was passed into the cavernous sinus, inflated to close the fistula, and detached. Three of the patients had a spontaneous fistula, and one had a traumatic fistula that had previously been trapped unsuccessfully. All patients had complete resolution of symptoms and signs after occlusion of the fistula. There were no intraoperative or postoperative complications. The transvenous approach to the cavernous sinus through the superior ophthalmic vein is a safe, effective treatment of carotid-cavernous sinus fistulas, whether they are direct or dural in nature.
连续4例无法通过动脉内球囊闭塞或栓塞等标准技术治疗的颈动脉海绵窦瘘患者，经将可脱性球囊导管经同侧眼上静脉推进而成功治疗。在血管造影监测下，将球囊送入海绵窦，充盈以封闭瘘口，然后解脱。其中3例患者为自发性瘘，1例为创伤性瘘，此前曾尝试封堵但未成功。所有患者在瘘口闭塞后症状和体征均完全消失。无术中或术后并发症。经眼上静脉经静脉途径治疗海绵窦瘘，无论其为直接型还是硬脑膜型，都是一种安全、有效的治疗方法。
