Carotid Cavernous Fistula.
| Autor: | Howard BM; Department of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road Northeast, Suite. B6200, Atlanta, GE 30322, USA; Department of Radiology and Imaging Sciences, Division of Interventional Neuroradiology, Emory University School of Medicine, 1364 Clifton Road NE, AG26, Atlanta, GE 30322, USA. Electronic address: brian.howard@emory.edu., Barrow DL; Department of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road Northeast, Suite. B6200, Atlanta, GE 30322, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Neurosurgery clinics of North America [Neurosurg Clin N Am] 2024 Jul; Vol. 35 (3), pp. 319-329. Date of Electronic Publication: 2024 Mar 19. |
| DOI: | 10.1016/j.nec.2024.02.004 |
| Abstrakt: | Carotid cavernous fistulae (CCFs) are arteriovenous shunts involving the cavernous sinus. CCFs are defined as direct or indirect. Direct CCFs are treated by deconstructive or reconstructive techniques depending on whether the affected internal carotid artery is required to perfuse the ipsilateral cerebral hemisphere, as determined by a balloon test occlusion. Indirect CCFs, or dural fistulae of the cavernous sinus wall, are most often treated with transvenous embolization. Stereotactic radiosurgery is reserved for cases of indirect CCFs that are not completely obliterated by embolization. Overall, cure rates are high with relatively low complication rates. Competing Interests: Disclosure The authors have no conflict of interest to disclose. No extramural funding was used in the production of this submission. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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