康奈奇辅助弹簧圈栓塞治疗创伤性颈动脉海绵窦瘘。
Comaneci-Assisted Coiling Embolization of a Posttraumatic Carotid-Cavernous Fistula.
机构信息
Department of Neuroradiology, ASST Sette Laghi, University of Insubria, Varese, Italy.
Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.
出版信息
World Neurosurg. 2020 Sep;141:166-170. doi: 10.1016/j.wneu.2020.05.185. Epub 2020 May 29.
BACKGROUND
A direct carotid-cavernous fistula (CCF) is a rare complication that typically occurs in closed head injuries. The balloon-assisted occlusion is the most used treatment. However, this technique requires multiple inflation/deflations, which could be problematic in a vessel with acute vessel injury.
CASE DESCRIPTION
In this study we reported a case of 72-year-old male patient with posttraumatic CCF, treated endovascularly with a transarterial Comaneci-assisted coiling embolization, highlighting the advantages and pitfalls of this innovative endovascular treatment.
CONCLUSIONS
The Comaneci-assisted coiling technique has proven to be advantageous both in the microcatheterization of the CCF and during coiling with remodeling technique. In addition, this device does not interrupt the vascular flow compared to balloon-assisted coiling and does not require long-term antiaggregation therapy with respect to the stent placement.
背景
直接颈动脉海绵窦瘘（CCF）是一种罕见的并发症，通常发生在闭合性颅脑损伤中。球囊辅助闭塞是最常用的治疗方法。然而，这种技术需要多次充气/放气，在血管急性损伤的情况下可能会出现问题。
病例描述
本研究报告了一例 72 岁男性外伤性 CCF 患者，采用经动脉 Comaneci 辅助弹簧圈栓塞进行血管内治疗，强调了这种创新的血管内治疗的优点和陷阱。
结论
Comaneci 辅助弹簧圈技术在 CCF 的微导管化和重塑技术的弹簧圈填塞过程中都被证明是有利的。此外，与球囊辅助弹簧圈相比，该器械不会中断血流，并且与支架放置相比，不需要长期的抗聚集治疗。
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