Vladimir Bascarevic, Ivan Vukasinovic, Zarko Nedeljkovic, Aleksandra Nedeljkovic, Mihailo Milicevic, Nemanja Jovanovic, Marina Milic, Aleksandar Stanimirovic, Vuk Scepanovic, Danica Grujicic
Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia.
Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia.
Radiol Case Rep. 2022 Jul 12;17(9):3312-3317. doi: 10.1016/j.radcr.2022.06.043. eCollection 2022 Sep.
Carotid-cavernous fistulas (CCF) are vascular malformations characterized by an aberrant shunt between one or more sources of arterial inflow and the cavernous sinus (CS). They are subdivided into direct and indirect fistulas. This last one, called dural CCF involve dural fistulous connections between branches of the internal carotid artery or the external carotid artery. When conventional routes are not eligible, surgical exposure of the vein is the only access to the fistula. We present the case of a patient successfully treated for right sided dural CCF, by a hybrid approach. Furthermore, through a literature review, we analyze the possible risks and benefits associated with this approach.
颈动脉海绵窦瘘（CCF）是一种血管畸形，其特征是一个或多个动脉流入源与海绵窦（CS）之间存在异常分流。它们可分为直接瘘和间接瘘。后者称为硬脑膜CCF，涉及颈内动脉或颈外动脉分支之间的硬脑膜瘘管连接。当传统路径不可行时，静脉的手术暴露是进入瘘管的唯一途径。我们介绍了一例通过混合方法成功治疗右侧硬脑膜CCF的患者病例。此外，通过文献综述，我们分析了这种方法可能带来的风险和益处。
