PDF(Pubmed)
Abstract：
Carotid-cavernous fistula (CCF) is a relatively rare pathology with a low incidence compared with other vascular pathologies. They can be classified based on hemodynamics as low- or high-flow fistulas, and anatomically as direct or indirect fistulas. Anatomy of the shunt somewhat dictates the selection of endovascular treatment, meaning the venous or arterial approach and selection of embolizing materials. Although there is general agreement as to when to access CCF transvenously or transarterialy, which depends on the shunt being direct or indirect, there is no uniform agreement on which occlusion method should be used. Herein, we report a case of an 80-year-old woman treated for indirect CCF using detachable coils. We also provide a brief review of the literature, including recent advances in treatment of said entities. In conclusion, selection of both the approach and material used depends on the operator\'s experience and preference.
摘要：
与其他血管病变相比，颈动脉海绵窦瘘（CCF）是一种相对罕见的病变，发病率较低。它们可以根据血液动力学分为低流量或高流量瘘，和解剖学上的直接或间接瘘管。分流的解剖在某种程度上决定了血管内治疗的选择，意味着静脉或动脉途径和栓塞材料的选择。尽管对于何时通过静脉或动脉进入CCF有普遍的共识，这取决于分流是直接还是间接的，对于应该使用哪种遮挡方法没有统一的协议。在这里，我们报告一例80岁女性使用可拆卸线圈治疗间接CCF.我们还对文献进行了简要回顾，包括最近在处理所述实体方面的进展。总之,方法和材料的选择取决于操作者的经验和偏好。
