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[The diagnosis and treatment of traumatic carotid-cavernous fistula].

Zhengjian Feng, Jianwen Li, Xiao Yan Ding

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Abstract

PURPOSE: To detect the value of digital subtraction angiography (DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula (TCCF). METHOD: 9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively. RESULT: Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed. CONCLUSION: DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.

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What this paper is about

PURPOSE: To detect the value of digital subtraction angiography (DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula (TCCF). METHOD: 9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively. RESULT: Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed. CONCLUSION: DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.

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Available abstract

PURPOSE: To detect the value of digital subtraction angiography (DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula (TCCF). METHOD: 9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively. RESULT: Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed. CONCLUSION: DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.

Key concepts: Medicine, Digital subtraction angiography, Carotid-cavernous fistula, Fistula, Radiology, Exophthalmos, Embolism, Complication

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