Long term follow up of carotid cavernous fistula patients treated with carotid occlusion
10.3760/cma.j.issn.1005-1201.2012.10.011
- VernacularTitle:闭塞颈内动脉治疗颈动脉海绵窦瘘的中长期疗效随访
- Author:
Weixing BAI
;
Tianxiao LI
;
Jiangyu XUE
;
Ziliang WANG
;
Li LI
- Publication Type:Journal Article
- Keywords:
Carotid-cavernous sinus fistula;
Arterial occlusive diseases;
Quality of life
- From:
Chinese Journal of Radiology
2012;46(10):921-924
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore efficacy,durability and possible impacts on life quality of carotid occlusion treatment to carotid cavernous fistula (CCF) patients.MethodsCCF patients since 2001 were retrospectively analyzed,the clinical features,2 weeks post procedure mRS score and ratio of carotid occlusion were recorded.Headache impact test (HIT-6) and Short form health survey(SF-36) were used to assess impact of sequelae in patients' daily life,by phone call,questionnaire and clinic recheck.Results Total 96 cases were studied composed of 81 direct CCF and 15 dural AVF.Thirty-two direct CCF cases underwent carotid occlusion during procedure and many ophthalmologic signs but visual impairment got recovery after 2 weeks,the mRS score less than 2 were revealed.The one year post operation HIT-6 score more than 50 was more likely found in carotid occlusion cases comparing with those preserved carotid artery while the 3 year SF-36 scores of carotid occlusion cases revealed inferior to those with patent artery,especially in body pain,general health and vitality subscales.ConclusionCarotid occlusion seems to be a feasible,effective and durable alternative for CCF treatment,but which could play a negative role on quality of patients' life in the long run.
