创伤性颈动脉海绵窦瘘的血管内栓塞治疗

ENDOVASCULAR EMBOLOTHERAPY OF TRAUMATIC CAROTID-CAVERNOUS FISTULA

目的:探讨创伤性颈动脉海绵窦瘘血管内栓塞治疗的方法及效果。方法:20例病人,栓塞治疗23次。在局麻或全麻下,采用股动脉入路,用可脱性球囊栓塞17例,微弹簧圈栓塞2例,可脱性球囊及微弹簧圈栓塞1例,因球囊泄漏而再栓塞2例。结果:20例病人一次栓塞成功17例,二次栓塞成功3例。颈内动脉通畅率80%(16/20)。经随访,无并发症及死亡病例发生。结论:创伤性颈动脉海绵窦瘘经血管内栓塞治疗,是一种安全、可靠的治疗方法。

Objective：To estimate the method and effects of endovascular embolotherapy on traumatic carotid -cavernous fistula（TCCF）. Methods.23 procedures of embolotherapy were performed in 20 cases with TCCF. Under local or general anesthesia and using femoral artery route , 17 cases were pegged with balloons, and 2 cases were pegged with micro - coils, balloons and micro - coils were used in 1 case, and 2 cases were pegged in second attempt because of leaking ballons. Results. 17 cases were pagged successfully at the first time, and 3 cases were pagged successfully for twice. The rate of internal carotid artery patency was 80% （16/20）. There was no complication and none died during follow - up. Conclusion. It is a safe and reliable method of endovascular embolotherapy on TCCF.