To discuss the diagnosis and manage ment of traumatic carotid cavernous fistula (TCCF).Methods: In all 15 patients with TCCF confirmed by angiography, 8 patients got early diagnosis and cure. With Seldinger technique ...To discuss the diagnosis and manage ment of traumatic carotid cavernous fistula (TCCF).Methods: In all 15 patients with TCCF confirmed by angiography, 8 patients got early diagnosis and cure. With Seldinger technique adpoted in th e puncture of femoral artery, Magic 3 F 1.8 F BD catheters combining with b alloon were used to embolize the fistula or the internal carotid artery. Results: Early diagnosis and cure were achieved in 8 patients w ithin one week and no sequelae occurred. Seven patients with delayed diagnosis who were cured beyond one week had some sequelae such as hypopsia in 5 cases, incomplete oculomotor paralyses in 3 and incomplete abducent paralyses in 2. Am ong all the 15 cases, the internal carotid artery was preserved in 12 cases acou nting for 80%. Occluding the fistula with sacrifice of the internal carotid arte ry was performed in 3 cases and no repatency of the fistula occurred by followin g up beyond three months. Conclusions: The preferred therapy for TCCF is to occlude the f istula using detachable balloon. The diagnosis and treatment for TCCF can signif icantly reduce occurrence rate of the complications and sequelae.展开更多
文摘To discuss the diagnosis and manage ment of traumatic carotid cavernous fistula (TCCF).Methods: In all 15 patients with TCCF confirmed by angiography, 8 patients got early diagnosis and cure. With Seldinger technique adpoted in th e puncture of femoral artery, Magic 3 F 1.8 F BD catheters combining with b alloon were used to embolize the fistula or the internal carotid artery. Results: Early diagnosis and cure were achieved in 8 patients w ithin one week and no sequelae occurred. Seven patients with delayed diagnosis who were cured beyond one week had some sequelae such as hypopsia in 5 cases, incomplete oculomotor paralyses in 3 and incomplete abducent paralyses in 2. Am ong all the 15 cases, the internal carotid artery was preserved in 12 cases acou nting for 80%. Occluding the fistula with sacrifice of the internal carotid arte ry was performed in 3 cases and no repatency of the fistula occurred by followin g up beyond three months. Conclusions: The preferred therapy for TCCF is to occlude the f istula using detachable balloon. The diagnosis and treatment for TCCF can signif icantly reduce occurrence rate of the complications and sequelae.
