Short term therapeutic effect of embolizing carotid-cavernous sinus fistula by superior ophthalmic vein approaches
- VernacularTitle:经眼上静脉栓塞治疗难治性颈内动脉海绵窦瘘的短期疗效观察
- Author:
Liu YANG
;
Jian WANG
;
Xinjian YANG
;
Yuanzhen QU
- Publication Type:Journal Article
- Keywords:
carotid-cavernous sinus fistula;
superior ophthalmic vein;
interventional therapy
- From:
Ophthalmology in China
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of embolizing carotid-cavernous sinus fistula(CCF) by superior ophthalmic vein(SOV) approaches.Design Retrospective case series.Participants 11 patients with CCF diagnosed by digital subtraction angiography(DSA) were failurers of traditional artery approaches.Methods All pathents were treated with embolizing carotid-cavernous sinus fistula by superor ophthalmic vein approaches.Main Outcome Measures visual acuity,exophthalmos,ocular movement,diplopia,conjunctival hyperemia,ocular fundus changes.Results Clinical cure was achieved in all 11 patients during follow-up for 1 week to 3 months.Six patients with symptoms of exophthalmos disappeared and five improved.8 cases with conjunctival hyperemia vanished and 3 cases relieved.The three patients with decreases of 8 visual acuity,among these one patient was normal and two improved.Intracalvarium strepitus and diplopia were all disappeared and ocular movement was normal.Conclusion Embolizing CCF by SOV is safe and effective when performed by a multidisciplinary team.
