• Zhonghua yi xue za zhi · Apr 2006

    [Transvenous embolization in treatment of refractory carotid-cavernous sinus fistula].

    • Ai-hua Liu, Zhong-xue Wu, Chu-han Jiang, You-xiang Li, You-ping Zhang, Xin-jian Yang, Jing-bo Zhang, Peng Jiang, Ming Lü, and Zhong-cheng Wang.
    • Beijing Neurosurgical Institute, Beijing 100050, China.
    • Zhonghua Yi Xue Za Zhi. 2006 Apr 4;86(13):868-71.

    ObjectiveTo investigate the effects of transvenous embolization in treatment of refractory carotid-cavernous sinus fistula (CCF).MethodsTwenty-five patients of refractory CCF with 28 foci underwent transvenous embolization, femoral vein-inferior petrosal sinus approach was used in 12 of which, and femoral vein-facial vein-superior ophthalmic vein approach was used in 12 of which. The embolizing materials included controllable coils (GDC, EDC), free coil, and silk. Three to twenty-four months after the treatment angiography was conducted on 10 patients and telephone follow-up was conducted on the other 15 patients.ResultsImmediate complete angiographic obliteration of the fistula was achieved in 20 patients. Residual shunting was left in 5 patients, 2 with pterygoid drainage and 3 with inferior petrosal sinus drainage. Headache and vomiting were the common symptoms after embolization. The angiography during follow-up showed that there were residual shunting in 4 patients, residual inferior petrosal drainage in 1 patient, and residual pterygoid drainage in 1 patient, and that no reoccurrence was found in the 6 patients with complete angiographic obliteration. The patients undergoing telephone follow-up reported that they had not any symptom.ConclusionSafe and effective, transvenous embolization can be the first choice after the failure in treatment of the carotid-cavernous sinus fistula.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…