血管内栓塞治疗颈动脉海绵窦瘘22例疗效观察

Carotid Cavernous Fistula Treatment with Intravascular Embolization(22 Cases)

目的探讨颈动脉海绵窦瘘(CCF)血管内栓塞治疗的方法及疗效。方法22例均行数字减影血管造影(DSA),明确诊断,显示瘘口部位及大小后,21例行颈内动脉可脱球囊栓塞治疗,1例行眼上静脉微弹簧圈栓塞治疗。结果22例中,21例1次栓塞成功,1例2次栓塞成功,6例闭塞颈内动脉。结论CCF血管内栓塞为首选治疗方法,创伤轻,恢复快,并发症少。对复杂的CCF可联合应用可脱球囊、微弹簧圈等栓塞。

Objective To explore the technique and curative effect of intravaseular embolization for treating carotid cavernous fistula（CCF）. Methods All patients （22 cases） underwent cerebral angiography to find the location and size of the orifice of fistula, and 21 cases were treated with detachable balloon via internal carotid artery, 1 case was treated with micro coil via ophthalmic vein. Results After the first operation, 21 cascs fistula were cured, 1 case rceeived the second treatment, 6 cases internal carotid arteries were occluded. Conclusions The intravascular embolization should be used as the first choice in the treatment of CCF, which with the virtues of small trauma, good reliability and safety. The complicated CCF can be treated with detachable balloons combined micro coils.