Selection and Combination of Techniques for Treating Spontaneous Carotid-cavernous Sinus Fistulas
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概要
- 論文の詳細を見る
Twenty-eight patients with spontaneous carotid-cavernous sinus fistulas (CCFs) were treated using a variety of techniques. Three of four patients with direct CCFs underwent intravascular embolization with a detachable balloon. Embolization with polyvinyl alcohol particles through an external carotid endoarterial route was used in six patients with indirect CCFs, and with ethylene-vinyl alcohol copolymer solution in two. Patients undergoing these conventional treatments, including embolization of the meningeal branches of the external carotid artery, had less satisfactory outcomes. The transvenous approach using minicoils through the inferior petrosal sinus was successful in eight patients. One patient treated using the transvenous approach using copper wire through the ophthalmic vein had worsening of visual acuity and field. Unsuccessful transvenous embolization in four patients required direct surgical exposure and embolization with spring coils. Spontaneous cures occurred in four patients. Direct CCFs with high flow rates were best treated with the detachable balloon or coil technique through a internal carotid endoarterial route. Indirect CCFs were best treated with the minicoil through the inferior petrosal sinus. If these techniques fail, direct surgical exposure allows placement of coils into the cavernous sinus.
- 日本脳神経外科学会の論文
- 1994-09-15
著者
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SUGIU Kenji
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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Sugiu Kenji
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Sugiu Kenji
Department Of Neurological Surgery Okayama University Medical School
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OHMOTO Takashi
Department of Neurological Surgery,Okayama University Medical School
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Ohmoto Takashi
Department Of Neurological Surgery Okayama University Medical School
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MANDAI Shinya
Department of Neurosurgery, Kagawa Prefectural Central Hospital
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Mandai Shinya
Department Of Neurological Surgery Okayama University Medical School
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Kinugasa Kazushi
Department Of Neurological Surgery Okayama University Medical School
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TOKUNAGA Kouji
Department of Neurological Surgery, Okayama University Medical School
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KAMATA Ichiro
Department of Neurological Surgery, Okayama University Medical School
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HANDA Akira
Department of Neurological Surgery, Okayama University Medical School
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Tokunaga Kouji
Department Of Neurological Surgery Okayama University Medical School
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Handa Akira
Department Of Neurological Surgery Okayama University Medical School
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Kamata Ichiro
Department Of Neurological Surgery Okayama University Medical School
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Ohmoto Takashi
Department Of Neurological Surgery Kagawa Medical School
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OHMOTO Takashi
Department of Environmental Technology, Osaka Municipal Technical Research Institute
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