摘要
目的总结球囊栓塞治疗颈内动脉海绵窦瘘的经验,探讨栓塞技术要点。方法用Seldinger法穿刺股动脉,通过8F导引导管将MagicBD球囊送入瘘口,使球囊充盈闭塞瘘口。结果本组11例中,1次栓塞成功9例,2次栓塞成功2例,保持颈内动脉通畅者8例,占73%;随访期(3个月～4年)内无复发。结论可脱性球囊栓塞技术已成为治疗颈内动脉海绵窦瘘的首选方法,早期诊断对本病的诊治至关重要,治疗成功的关键在于闭塞瘘口的同时防止并发症的发生。
objective To summarize the experiences of embolization of carotid-carvernous fistula by detachable balloon and investigate the main point of embolization. Methods Using Seldinger method to puncture femoral artery we delivered Magic BD balloon to fistula through 8F guiding catheter. The balloon was filled by isotonic and nontonic contrast for embolization of the fistula. Results All of 11 fistulas were embolized successfully. Once successful embolization in 9 cases and twice in 2 cases. Internal carotid arteries of 8 cases (73%) were preserved. None of the CCF recurred following-up from 3 months to 4 years. Conclusion embolization by detachable balloon has become the most effective method for the treatment of carotid-cavernous fistula .It is very important for TCCF to diagnosis in earlier period. The key to success of therapy is not only embolizing fistula but also preventing complications at the same time.
出处
《中国微侵袭神经外科杂志》
CAS
2003年第4期155-156,共2页
Chinese Journal of Minimally Invasive Neurosurgery
