Transarterial and Transvenous Coil Embolization of Direct Carotid-Cavernous Fistulas.

Autor:	Fukawa N; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan., Nakagawa N; Department of Neurosurgery, Kindai University Nara Hospital, Ikoma, Nara, Japan., Tsuji K; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan., Yoshioka H; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan., Furukawa K; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan., Nagatsuka K; Department of Neurosurgery, Izumi City General Hospital, Izumi, Osaka, Japan., Kubota H; Department of Neurosurgery, Izumi City General Hospital, Izumi, Osaka, Japan., Nakano N; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan., Takahashi JC; Department of Neurosurgery, Kindai University Hospital, Osakasayama, Osaka, Japan.
Jazyk:	angličtina
Zdroj:	Journal of neuroendovascular therapy [J Neuroendovasc Ther] 2022; Vol. 16 (2), pp. 127-134. Date of Electronic Publication: 2021 May 27.
DOI:	10.5797/jnet.tn.2020-0115
Abstrakt:	Objective: Transvenous embolization (TVE) is typically used in combination with the residual shunt of transarterial embolization (TAE) for the treatment of direct carotid-cavernous fistulas (direct CCFs). This report is about our additional embolization method using combination therapy. Case Presentation: Five consecutive cases of direct CCF were presented; two were caused by aneurysms and three by head injuries. The treatment for each was started with TAE, with the addition of TVE if a shunt remained. At the time of TVE, a microcatheter positioned in the internal carotid artery passing from the cavernous sinus through the aneurysm neck or fistula was pulled back (pull-back method). It was then placed in the coil mass with TAE, and additional coils were filled. In two cases, the shunt disappeared by using only TAE, whereas it disappeared after being additionally embolized by the pull-back method in the remaining cases. All patients recovered with no postoperative complications. Conclusion: The TAE and TVE combination therapy with the pull-back method could efficiently embolize the residual shunt after TAE. Competing Interests: The authors declare no conflicts of interest. (©2022 The Japanese Society for Neuroendovascular Therapy.)
Databáze:	MEDLINE
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