Endovascular treatment of traumatic carotid-cavernous fistula clinical analysis of 25 cases.docVIP

 PAGE \* MERGEFORMAT 11 Endovascular treatment of traumatic carotid-cavernous fistula clinical analysis of 25 cases Author: Zhang Wei Jian Yuan Xiao-Hua Zhou Jie column grid knowledge [Keywords:] Endovascular embolization of traumatic carotid-cavernous fistula Traumatic carotid-cavernous fistula (traumatic carotid cavernous fistula, TCCF) is due to trauma caused by carotid-cavernous carotid artery branches paragraph or interlinked to form a direct and cavernous arteries - shunt vascular disease. The past, adopt a variety of neurosurgical treatment, but more complications, efficacy is not satisfactory. Since 1974, Serbinenko the first time detachable balloon therapy TCCF started Endovascular treatment has become the first choice, and then developed into applications such as coils or NBCA embolization auxiliary materials. This study documents for the past 15 years combined application of endovascular embolization method of treatment of 25 cases of traumatic carotid-cavernous fistula analyzed and summarized. Report are as follows. 1 Materials and Methods 1.1 General Information Select Jinhua Central Hospital from January 1994 to December 2008 received 25 cases lived in TCCF patients, 16 patients were males and 9 females, aged from 17 to 67 years, with an average (39.30 ± 13.01) years of age. A history of 2 h to 7 years, have a clear history of head trauma. Injury type: 15 cases of motorcycle accident injuries, and other modes of transport accident injuries, 4 cases fall injury in 3 cases, injured after two cases of heavy, stabbed in 1 case. 1.2 clinical manifestations of 25 patients, 24 cases had varying degrees of pulsating exophthalmos, conjunctival congestion and edema; 16 patients had subjective intracranial murmur; 11 cases of varying degrees of vision loss, including two cases of ipsilateral blindness; 8 patients with varying degrees of oculomotor nerve palsy; 10 patients with varying degrees of headache; three cases of existence of consciousness; 2 p