- 期刊
Endovascular Embolization of Carotid-Cavernous Fistula Using the Posterior Communicating Artery Approach: a Case Report
經後交通動脈栓塞治療頸動脈海綿狀竇瘻管
摘要
我們報告一例頸動脈海綿狀竇瘻管的病例合併同側頸動脈堵塞，經後交通動脈血管栓塞治療此廔管。一位44歲女性合併頸動脈海綿狀竇廔管及同側醫源性內頸動脈堵塞，我們使用細小導管由椎動脈進入經後交通動脈至內頸動脈之遠側海綿狀竇部位，再用白金綿圈將此瘻管封住。病患經一年之臨床追蹤目前並無任何併發症或?管復發產生。
關鍵字
無資料並列摘要
We report a case of direct carotid-cavernous fistula complicated with occlusion of internal carotid artery (ICA) at attempted endovascular obliteration via ICA and subsequent successful embolization via the posterior communicating artery (PC0A) approach. After a thorough understanding of vascular anatomical alterations associated with initial technical failure with detachable balloons, a microcatheter was navigated to the fistula site via the vertebro-basilar-PC0A to the distal cavernous segment of the left ICA. Embolization of the fistula was performed with deposition of three platinum microcoils. Angiograms after embolization showed complete disappearance of the fistula. There was no procedural complication and no recurrence of fistula at one-year clinical follow up.
延伸閱讀
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