可脱性球囊栓塞治疗创伤性颈动脉海绵窦瘘的临床观察

Clinical observation on interventional treatment of traumatic carotid-cavernous fistula by embolization with detachable balloon

目的探讨经动脉途径可脱性球囊栓塞创伤性颈动脉海绵窦瘘(TCCF)的疗效。方法回顾性分析17例TCCF患者的资料,采用经动脉途径可脱性球囊栓塞瘘口或闭塞患侧颈内动脉主干。结果 9例使用1枚球囊栓塞,5例使用2枚,3例使用3枚。17例中13例使用可脱性球囊成功闭塞瘘口并且保留颈内动脉通畅(76.47%),4例使用可脱性球囊闭塞颈内动脉主干。术中未发生与血管内栓塞相关并发症。术后约15d2例患者瘘口复发,1例形成无症状性假性动脉瘤。结论经动脉途径栓塞TCCF疗效确切,应作为治疗创伤性颈动脉海绵窦瘘的首先方式。

Objective To evaluate endovascular embolization with detachable balloon in treating traumatic carotid-cavernous fistula（TCCF）.Methods Endovascular embolization with detachable balloon was performed in seventeen patients with TCCF.The clinical data were retrospectively analyzed.Results 9 cases underwent embolization with 1 detachable balloon,5 cases with 2,3 cases with 3 detachable balloon.Complete occlusion of fistula was achieved in 17 patients,of whom 13 had ICA preserved.The preservation rate of the flow of ICA was 76.47%.There were not complication during the process of the endovascular embolization.The fistulas were recurred in two cases.The asymptomatic pseudoaneurysm was formatted in 1 case.Conclusion The embolization of TCCF with detachable balloon is effective,should be as the first treatment method.