Inagawa T, Yano T, Kamiya K
Surg Neurol. 1986 Oct;26(4):383-6. doi: 10.1016/0090-3019(86)90141-2.
A report is presented on a patient with acute aggravation of traumatic carotid-cavernous fistula after venography through the inferior petrosal sinus. After direct puncture of the internal jugular vein and insertion of the catheter tip to reach the inferior petrosal sinus, venography was conducted, but immediately thereafter bruit decreased and proptosis and chemosis increased. Though the fistula may have been occluded through the endarterial approach, the cause of acute aggravation is considered to have been thrombosis of the inferior petrosal sinus. The risk involved in venography or the transvenous approach for traumatic carotid-cavernous fistulas is discussed.
本文报告了1例经岩下窦进行静脉造影后创伤性颈动脉海绵窦瘘急性加重的患者。在直接穿刺颈内静脉并将导管尖端插入至岩下窦后进行了静脉造影，但此后不久，血管杂音减弱，眼球突出和球结膜水肿加重。尽管瘘口可能已通过动脉内途径闭塞，但急性加重的原因被认为是岩下窦血栓形成。文中讨论了创伤性颈动脉海绵窦瘘静脉造影或经静脉入路所涉及的风险。
