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2003•Acta Academiae Medicinae XuzhouRequires access

The treatment of traumatic carotid-cavernous fistula with interventional embolization

Hao Xu

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Abstract

Objective To investigate the therapeutic value of the percutaneous transluminal embolization of traumatic carotid-cavernous fistula (TCCF).?Methods Digital subtraction angiography (DSA) of cerebral arteries was carried out for the diagnosis of TCCF in 9 patients. Detachable balloon was used for intravascular embolism treatment in 8 cases, and tungsten filament microcoil was used in the other one case.?Results The 9 cases were all of high flow type in unilateral internal carotid artery (ICA) and were successfully treated by means of interventional embolization. Eight patients retained free circulation in the involved ICA after operation, and in the other one case, the ICA was closed by embolization. The symptoms and signs all disappeared in them and no complications were noticed.?Conclusion The interventional embolization is a therapy for TCCF safe and reliable.

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What this paper is about

Objective To investigate the therapeutic value of the percutaneous transluminal embolization of traumatic carotid-cavernous fistula (TCCF).?Methods Digital subtraction angiography (DSA) of cerebral arteries was carried out for the diagnosis of TCCF in 9 patients. Detachable balloon was used for intravascular embolism treatment in 8 cases, and tungsten filament microcoil was used in the other one case.?Results The 9 cases were all of high flow type in unilateral internal carotid artery (ICA) and were successfully treated by means of interventional embolization. Eight patients retained free circulation in the involved ICA after operation, and in the other one case, the ICA was closed by embolization. The symptoms and signs all disappeared in them and no complications were noticed.?Conclusion The interventional embolization is a therapy for TCCF safe and reliable.

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Available abstract

Objective To investigate the therapeutic value of the percutaneous transluminal embolization of traumatic carotid-cavernous fistula (TCCF).?Methods Digital subtraction angiography (DSA) of cerebral arteries was carried out for the diagnosis of TCCF in 9 patients. Detachable balloon was used for intravascular embolism treatment in 8 cases, and tungsten filament microcoil was used in the other one case.?Results The 9 cases were all of high flow type in unilateral internal carotid artery (ICA) and were successfully treated by means of interventional embolization. Eight patients retained free circulation in the involved ICA after operation, and in the other one case, the ICA was closed by embolization. The symptoms and signs all disappeared in them and no complications were noticed.?Conclusion The interventional embolization is a therapy for TCCF safe and reliable.

Key concepts: Medicine, Embolization, Digital subtraction angiography, Radiology, Carotid-cavernous fistula, Percutaneous, Internal carotid artery, Fistula

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