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目的 探讨颈内动脉海绵窦瘘 (CCF)血管内栓塞治疗的效果。方法 5例均经DSA全脑血管造影明确瘘口部位 ,采用可脱性球囊或电致血凝性可脱性铂金弹簧圈 (GDC)进行栓塞。结果 5例中 ,1例球囊栓塞成功并保持颈内动脉通畅 ;2例表现为假性动脉瘤 ,用球囊闭塞患侧颈内动脉 ;1例因瘘口太小 ,用GDC填塞海绵窦 ;另 1例 2次试放球囊入海绵窦均破裂失败 ,其中 1枚瘪陷球囊滞留于海绵窦 ,患者不愿闭塞患侧颈内动脉未予进一步治疗 ,但患者治疗术后 1周临床症状和体征消失。结论 颈内动脉海绵窦瘘全脑血管造影可明确瘘口部位、大小 ,首选治疗方法是血管内栓塞治疗。
Objective To investigate the effect of endovascular embolization of internal carotid cavernous fistula (CCF). Methods Five cases were confirmed by DSA cerebral angiography of the fistula site, the use of detachable balloon or hemagglutinating detachable platinum coil (GDC) for embolization. Results In 5 cases, balloon embolization was successful and the internal carotid artery was unobstructed. Two cases showed pseudoaneurysm with balloon occlusion of the ipsilateral internal carotid artery. In one case, the fistula was too small and filled with GDC ; Another 1 case of 2 failed to put the balloon into the cavernous rupture, including a deflated balloon in the cavernous sinus, the patient unwilling to occlusion of the internal carotid artery without further treatment, but patients treated 1 week after surgery Clinical symptoms and signs disappear. Conclusion Internal carotid cavernous fistula cerebral angiography can confirm the location of fistula, size, the preferred treatment is endovascular embolization.