以对侧眼球突出为表现的颈动脉海绵窦瘘的治疗：移植物支架的若干经验
Treatment of Carotid Cavernous Fistula Presenting with Contralateral Exophthalmos: Several Experiences of Graft Stent.
作者信息
Chang Sehun, Young Chung Seung, Sung Lee Do, Suk Park Ki
机构信息
Department of Neurosurgery, Eulji University Hospital, Daejeon, Korea.
出版信息
J Neuroendovasc Ther. 2020;14(6):238-242. doi: 10.5797/jnet.cr.2019-0104. Epub 2020 Apr 7.
OBJECTIVE
Graft stent for carotid cavernous fistula (CCF) is known to be a useful treatment. Here, we report our experiences of treatment with graft stents for CCFs.
CASE PRESENTATIONS
From 2015 through 2018, six patients underwent graft stent placement for CCF occlusion. Clinical and angiographic data were retrospectively reviewed. Access and deployment of a graft stent was successful in all patients and complete occlusion immediately after the procedure or 3-month follow-up angiography.
CONCLUSION
Graft stents should be considered as an alternative option of treating CCFs and preserving the parent artery by arterial wall reconstruction especially in patients with a fistula that cannot be successfully occluded with detachable balloons or coils.
目的
已知用于治疗颈内动脉海绵窦瘘（CCF）的移植支架是一种有效的治疗方法。在此，我们报告使用移植支架治疗CCF的经验。
病例介绍
2015年至2018年，6例患者接受了用于闭塞CCF的移植支架置入术。对临床和血管造影数据进行了回顾性分析。所有患者移植支架的置入和展开均成功，术后即刻或3个月随访血管造影显示完全闭塞。
结论
对于CCF的治疗，尤其是对于那些无法用可脱性球囊或弹簧圈成功闭塞瘘口的患者，应考虑将移植支架作为一种通过动脉壁重建来治疗CCF并保留供血动脉的替代选择。
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