Department of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road Northeast, Suite. B6200, Atlanta, GE 30322, USA; Department of Radiology and Imaging Sciences, Division of Interventional Neuroradiology, Emory University School of Medicine, 1364 Clifton Road NE, AG26, Atlanta, GE 30322, USA.
Department of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road Northeast, Suite. B6200, Atlanta, GE 30322, USA.
Neurosurg Clin N Am. 2024 Jul;35(3):319-329. doi: 10.1016/j.nec.2024.02.004. Epub 2024 Mar 19.
Carotid cavernous fistulae (CCFs) are arteriovenous shunts involving the cavernous sinus. CCFs are defined as direct or indirect. Direct CCFs are treated by deconstructive or reconstructive techniques depending on whether the affected internal carotid artery is required to perfuse the ipsilateral cerebral hemisphere, as determined by a balloon test occlusion. Indirect CCFs, or dural fistulae of the cavernous sinus wall, are most often treated with transvenous embolization. Stereotactic radiosurgery is reserved for cases of indirect CCFs that are not completely obliterated by embolization. Overall, cure rates are high with relatively low complication rates.
颈动脉海绵窦瘘（CCFs）是涉及海绵窦的动静脉分流。CCFs 分为直接型和间接型。直接型 CCFs 根据球囊闭塞试验来确定是否需要受影响的颈内动脉来灌注对侧大脑半球，从而选择破坏性或重建性技术进行治疗。间接型 CCFs，或海绵窦壁的硬脑膜瘘，通常采用经静脉栓塞治疗。立体定向放射外科适用于经栓塞治疗未完全闭塞的间接 CCFs。总体而言，治愈率高，并发症发生率相对较低。
