外伤性颈动脉－海绵窦瘘球囊栓塞治疗

carotid-cavernous fistula treatment by embolization therapy

分析１８例外伤性颈内动脉－海绵窦瘘（ＴＣＣＦ）采用可脱性球囊栓塞治疗，１例ＴＣＣＦ采用弹簧圈栓塞治疗，均获成功。其中１０例栓塞后保持颈内动脉通畅，本文讨论了栓塞方法效果和有关的技术问题。

Abstract cases of internal carotid-cavernous fistula were treated by detachable balloon catheterization and l case of external carotid-cavernous fistula treated with gianturcoil embolization were analyzed. 11 cases were chosen by transfemoral artery approach. 8 cases were by internal carotid artery approach, of which 7 cases the carotid arteries were maintained patent. The advantages of the internal carotid artery approach were short distance, brief operation. suitable for any age and highly successful rate. 6 cases occurred external carotid cavernous fistula. after internal carotid-cavernous fistula embolization, and cured following secondary gianturcoil embolization. The etiology of postembolizing external carotid-cavernous fistula was the anastomosing branchas of the external cervical artery opened by the changes arterial pressure. In this article. the embolization routes,results and related techniques were disscussed .