METHODS: We describe the recent experience- including indications, surgical technique, radiological findings and post-operative outcomes- in Melbourne of a series of patients in whom a percutaneous, transorbital direct puncture of the cavernous sinus enabled successful embolization of dural arteriovenous fistulas.
RESULTS: Each of three patients achieved successful embolization of their CCFs via a transorbital puncture. Post-operatively, all patients experienced symptomatic relief with complete resolution of clinical signs secondary to their CCFs.
CONCLUSIONS: When angioarchitecture does not allow endovascular access, transorbital puncture of carotid-cavernous sinus dural arteriovenous fistulas can be a safe and effective technique. This report supports its success and low complication rate.
方法:我们描述了最近的经验-包括适应症,外科技术,放射学发现和术后结果-在墨尔本的一系列患者中,经皮,经眶直接穿刺海绵窦可以成功栓塞硬脑膜动静脉瘘。
结果:3例患者均通过经眶穿刺成功栓塞CCF。术后,所有患者均经历了症状缓解,其CCF继发的临床体征完全缓解.
结论:当血管构筑不允许血管内通路时,经眶穿刺颈动脉海绵窦硬脑膜动静脉瘘是一种安全有效的技术。该报告支持其成功和低并发症发生率。