Ishikawa M, Handa H, Taki W, Yoneda S
Surg Neurol. 1982 Aug;18(2):131-9. doi: 10.1016/0090-3019(82)90372-x.
Fifteen cases of spontaneous carotid-cavernous fistulae, including 4 patients with spontaneous cure and 8 treated with electrothrombosis, are reviewed. Careful angiographic observation will verify closure of the fistula. Aggravation of visual and/or ocular symptoms can also develop with spontaneous carotid-cavernous fistulae. Recurrence of symptoms and development of collaterals were noted, especially after carotid ligation or embolization of the external carotid artery. Electrothrombosis successfully closed the fistulae in 7 patients. The internal carotid artery was occluded in 1 patient who had a preoperative carotid stenosis at the cervical level. The ability to differentiate angiographically between single and multiple fistulae provides a new possibility that spontaneous carotid-cavernous fistulae can be treated with detachable balloon catheters.
回顾了15例自发性颈内动脉海绵窦瘘，其中4例自发治愈，8例接受了电血栓形成治疗。仔细的血管造影观察将证实瘘管闭合。自发性颈内动脉海绵窦瘘也可出现视力和/或眼部症状加重。注意到症状复发和侧支循环形成，尤其是在颈动脉结扎或颈外动脉栓塞后。电血栓形成成功闭合了7例患者的瘘管。1例术前存在颈部水平颈动脉狭窄的患者颈内动脉闭塞。血管造影区分单瘘和多瘘的能力为用可脱性球囊导管治疗自发性颈内动脉海绵窦瘘提供了新的可能性。
