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外伤性颈动脉海绵窦瘘的神经眼科异常与血管内治疗

Neuroophthalmologic abnormalities and intravascular therapy of traumatic carotid cavernous fistulas.

作者信息

Kupersmith M J, Berenstein A, Flamm E, Ransohoff J

出版信息

Ophthalmology. 1986 Jul;93(7):906-12. doi: 10.1016/s0161-6420(86)33643-1.

DOI:10.1016/s0161-6420(86)33643-1
PMID:3763135
Abstract

Traumatic fistulas were successfully embolized using various transvascular approaches in 33 of 34 lesions. Complete superselective angiographic demonstration of the exact site of the shunt and possible collaterals was necessary to choose the appropriate embolization techniques. Improvement in the signs of orbital congestion was seen in all cases. Embolization, which directly occludes the fistula, precludes recurrences via collateralization and restores the normal arteriovenous gradient to the eye and optic nerve.

摘要

在34处病变中的33处,采用各种经血管入路成功栓塞了外伤性瘘管。为选择合适的栓塞技术,必须通过血管造影完全超选择性地精确显示分流的确切部位以及可能的侧支循环。所有病例的眼眶充血体征均有改善。直接闭塞瘘管的栓塞术可防止通过侧支循环复发,并恢复眼部和视神经的正常动静脉梯度。

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