[Endovascular treatment of carotid-cavernous sinus fistulae].
OBJECTIVE
To treat carotid-cavernous sinus fistulae mmunications between 43 patients with endovascular procedure.


METHODS
Of the 43 patients 37 were male and 6 female. Traumatic and spontaneous CCF were noted in 39 and 4 patients respectively. 36 patients with CCF were given ICA alone, both internal and external carotid arteries in 7. Fistulae occlusion in 31 patients and ICA obliteration in 12 patients were achieved with transarterial detachable balloon technique. External carotid feeding arteries were embolized with silk suture in 7 patients.


RESULTS
Angiographic and clinical cure wer obtained in 39 patients and improved in 4. One patient was complicated by hemiplegia postoperatively.


CONCLUSIONS
Endovascular balloon embolization is the first method of choice in dealing with carotid-cavernous fistulae.
Xie
W
W
Department of Neurosurgery, Nanjing General Hospital of People's Liberation Army, Nanjing 210002.
Shi
J
J
Liu
C
C
Tan
Q
Q
Wu
Z
Z
Fan
Y
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000628:therapy*; D002343:Carotid Artery, Internal; D002426:Cavernous Sinus; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome