Abu-Fares Omar, Adamou Antonis, Lanfermann Heinrich, Krauss Joachim K, Al-Afif Shadi, Döring Katja
Department of Diagnostic and Interventional Neuroradiology, Hannover Medical School Hannover, 30625, Hannover, Germany.
Department of Neurosurgery, Hannover Medical School, 30625, Hannover, Germany.
CVIR Endovasc. 2025 May 17;8(1):44. doi: 10.1186/s42155-025-00566-7.
Carotid cavernous fistulae (CCF) are pathological connections between the carotid arteries and the cavernous sinus. Endovascular procedures are the mainstay treatment for CCF. The aim of this report is to evaluate the efficacy and safety of the combined use of the Pipeline Vantage (PV) flow diverter and transvenous coil embolization in the treatment of CCF.
Retrospective,monocentric analysis of three patients who underwent neurointerventional treatment of clinically symptomatic CCF using a combination of transvenous coil embolization and flow diverter Implantation. Clinical data, the etiology of the CCF and clinical and radiological follow up were evaluated.
Clinical and radiological follow-up were available at 3 and 12 months. One patient experienced clinical improvement immediatley after the interventions. The other two patients improved within one year after treatment. No symptomatic complications were recorded. One year after the intervention complete CCF occulsion was documented in all cases.
We report an initial experience for the treatment of direct CCF using the combination of a new generation Pipeline FD and transvenous coil embolization. The high treatment success rate and low complication rate are encouraging.
颈动脉海绵窦瘘（CCF）是颈动脉与海绵窦之间的病理性连接。血管内介入治疗是CCF的主要治疗方法。本报告的目的是评估Pipeline Vantage（PV）血流导向装置与经静脉弹簧圈栓塞联合使用治疗CCF的疗效和安全性。
对3例采用经静脉弹簧圈栓塞和血流导向装置植入联合治疗有临床症状CCF的患者进行回顾性单中心分析。评估临床资料、CCF的病因以及临床和影像学随访情况。
在3个月和12个月时进行了临床和影像学随访。1例患者在干预后立即出现临床改善。另外2例患者在治疗后1年内有所改善。未记录到有症状的并发症。干预1年后，所有病例均记录到CCF完全闭塞。
我们报告了使用新一代Pipeline FD和经静脉弹簧圈栓塞联合治疗直接CCF的初步经验。高治疗成功率和低并发症发生率令人鼓舞。
