Russell N A, Mangan M A, Pryse-Phillips W, Sharma L K
Can J Surg. 1979 Sep;22(5):452-5.
The surgical treatment of carotid cavernous fistula gradually evolved into a "trapping" technique. This technique includes ligation of the cervical internal carotid artery, clipping of the intracranial portion distal to the fistula and often embolization of the isolated segment. The development of embolization techniques using intravascular balloon catheters greatly simplified this treatment. The authors report a case of spontaneous carotid cavernous fistula in which obliteration was achieved by an intracarotid balloon catheter. This was inserted by direct puncture of the carotid artery, which had been exposed by a simple neck incision. The patient's visual acuity was preserved. The efficacy, ease and safety of this method are emphasized.
颈动脉海绵窦瘘的外科治疗逐渐演变成一种“套扎”技术。该技术包括结扎颈内动脉、在瘘口远端夹闭颅内部分，并且常常对孤立段进行栓塞。使用血管内球囊导管的栓塞技术的发展极大地简化了这种治疗。作者报告了一例自发性颈动脉海绵窦瘘，通过颈内球囊导管实现了闭塞。该导管通过直接穿刺经简单颈部切口暴露的颈动脉插入。患者的视力得以保留。强调了这种方法的有效性、简便性和安全性。
