HydroCoil栓塞系统治疗颈动脉海绵窦瘘3例并文献复习  

Carotid Cavernous Fistula:Treatment with HydroCoil Embolization System:A Report of 3 Cases with Review of the Literature

作　　者：王波[1] 王成伟[1] 王志刚[1] 张源[1] 潘顺[1] 张庆林[1] 

机构地区：[1]山东大学第二医院神经外科,山东济南250033

出　　处：《实用放射学杂志》2008年第3期365-367,共3页Journal of Practical Radiology

摘　　要：目的评价应用HydroCoil栓塞系统（hydroCoil embolization system，HES）治疗颈动脉海绵窦瘘（carotid cavernous fistula，CCF）的安全性和有效性。方法结合文献复习，回顾性分析3例经可脱性球囊栓塞治疗失败后用HES治疗的CCF病人。3例患者均为外伤性CCF，共3个瘘口，所有病人均有眼部症状，包括：球结膜充血、突眼等。结果3例患者3个瘘口完全闭塞并保持颈内动脉通畅；术后患者恢复良好，颅内吹风样杂音消失，突眼症状明显减轻，视力有不同程度的恢复。随访4-6个月均无复发，没有神经系统并发症发生。结论HES对于治疗球囊栓塞失败的CCF病人是安全有效的。Objective To evaluate the safety and efficiency of HydroCoil embolization system（ HES） in treating carotid cavernous fistula （ CCF）. Methods 3 cases with CCF treated by HES which failed in detachable balloons embolization were analysed retrospectively with literature review. All patients had a history of severe craniocerebral injury, the clinical symptoms included exophthalmos, conjunctival injection, chemosis, and ocular motor palsies. Results 3 patients with 3 fistulas were occluded and the internal carotid artery was keeping patent after treatment. Postoperatively the patient recovered well, encephalic noise vanished, exophthalmus relieved obviously. There were no recurrences and no neurologic deterioration to be observed in the follow - up for 4 to 6 months. Conclusion The cases with CCF which failed in detachable balloons embolization treated by HES are effective and safe.

关 键 词：颈动脉海绵窦瘘 栓塞 水凝胶 介入放射学 

分 类 号：R543.4[医药卫生—心血管疾病] R815[医药卫生—内科学]