Willis覆膜支架治疗外伤性颈内动脉-海绵窦瘘:4例报告  

Willis covered stents for the treatment of traumatic carotid cavernous fistulas:report of four cases

作　　者：马永会[1] 武通帅 叶永造[1] 朱宏伟[1] 姜月明[1] 王占祥[1] MA Yonghui WU Tongshuai YE Yongzao ZHU Hongwei JIANG Yueming WANG Zhanxiang(Department of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen 361000, China)

机构地区：[1]厦门大学附属第一医院神经外科,福建厦门361000

出　　处：《中华神经外科疾病研究杂志》2017年第1期61-62,共2页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的总结Willis覆膜支架用于外伤性颈内动脉海绵窦瘘(TCCF)的治疗经验。方法2014年12月至2015年12月,用Willis覆膜支架医治外伤性颈内动脉海绵窦瘘4例,均行临床随访。结果 Willis支架均成功植入,其中1例出现少许对比剂内漏,以更高压力二次充胀球囊后仍内漏,置入第2枚覆膜支架后,内漏消失。造影可见瘘口闭合,无颈内动脉阻塞,无手术并发症。临床随访4例,原临床症状均未复发。结论 Willis覆膜支架是治疗外伤性颈内动脉海绵窦瘘的有效手段,值得推广。ObjectiveThe therapeutic experience of traumatic carotid cavernous fistula （TCCF） using Willis covered stents was summarized.MethodsA total of 4 patients with traumatic carotid cavernous fistulas treated with Willis covered stents from December 2014 to December 2015 were analyzed and followedup.ResultsThe Willis covered stents were placed successfully in 4 patients, 1 of which had a few contrast agent endoleaks after stent placement. The endoleak did not disappear after redilatation of balloon with higher pressure. And it disappeared after the second covered stent was placed. The angiogram revealed obliteration of TCCF in 4 cases and four ICAs were unobstructed. No complications occurred in four patients. All patients were followed up and no clinical symptoms occurred.ConclusionWillis covered stent is an effective endovascular treatment for TCCF, so it is worth recommending.

关 键 词：颈内动脉海绵窦瘘 Willis支架 脑外伤 血管损伤 

分 类 号：R743.9[医药卫生—神经病学与精神病学]