Document Detail

Treatment of traumatic carotid-cavernous fistula.
MedLine Citation:
PMID:  20667206     Owner:  NLM     Status:  PubMed-not-MEDLINE    
From 1986 to the end of 1998, 482 cases of traumatic carotid-cavernous fistula (TCCF) were treated by means of intravascular embolisation technique. The experience is overviewed in this article. Many kinds of detachable balloon catheters (including Chinese made detachable balloon catheters), coils and cyanoacrylate were used as embolic materials. Transcervical, transfemoral, anterior communicating artery, posterior communicating artery approach, or transvenous approach were selected according to conditions. A combination of different approaches or materials was used for complex TCCF. We found that the special sign, named "bileakage sign", indicated multileakage of TCCF and was not mentioned before.All 482 cases of TCCF were embolised successfully, of which 405 cases maintained the patency of internal carotid artery (ICA). No death related to the treatment occurred in our group and the symptoms or signs in 462 cases were relieved after embolisation. Emergency embolisation was needed in some conditions such as serious epistaxis, delayed or repeatedly subdural haematoma and rapid visual impairment. Endovascular treatment of TCCF is a safe and efficient method. The time of operation, approach, and materials for embolisation must be carefully selected in order to obtain the best result.
Z Wu; Y Zhang; C Wang; X Yang; Y Li
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Publication Detail:
Type:  Journal Article     Date:  2001-05-15
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  6     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2012-10-02     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  277-89     Citation Subset:  -    
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