Intravascular occlusion and clinical manifestation for eyes of carotid cavernous fistula
- VernacularTitle:颈动脉海绵窦瘘的眼部表现与血管内治疗
- Author:
Xiaolong ZHENG
;
Ling HE
;
Weinong WANG
;
Guodong GAO
- Publication Type:Journal Article
- Keywords:
cavernous sinus;
arteriovenous shunt;
intravascular occlusion;
interventional radiology;
balloon
- From:
Recent Advances in Ophthalmology
2000;20(6):416-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of intravascular occlusion for carotid cavernous fistula (CCF) by analying the clinical features of CCF. Methods Twelve cases with CCF were analysed on their medical histories, clinical features in the eyes, clinical examinations and the therapeutic effects of balloon occlusion in internal carotid artery.Results Ten cases were treated successfully(83.33%), in which 2 cases were treated once more. There was no operation complication. The visual acuity of one case increased from no light perception to finger movement within 1 week preoperatively. The visual acuity of 10 cases improved 1～4 lines (Snellen chart). Some clinical symptoms and signs such as the lid, conjunctiva swelling, diplopia, the movement of eyeball and retinal hemorrhage were decreased remarkably. Carotid fistula of 12 cases with CCF were found to be occlusioned by digital subtraction angiography after operations.Conclusion The early diagnosis and treatment for CCF are necessary. Color doppler flow imaging, CT and DSA are useful examination methods for diagnosis of CCF. Intravascular occlusion is the best therapeutic method for CCF nowadays.
