The clinical features, angiographic and endovascular treatment of indirect carotid cavernous fistulas

Autor: Van Tuan Nguyen, Anh Tuan Tran, Thi Hoang Yen Vu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Vietnam Journal of Science, Technology and Engineering, Vol 64, Iss 4 (2022)
Druh dokumentu: article
ISSN: 2525-2461
2615-9937
DOI: 10.31276/VJSTE.64(4).51-54
Popis: Indirect carotid cavernous fistulas (ICCFs) are rare disease entities triggered by indirect low flow between the cavernous sinus and the meningeal branches of the internal or external carotid artery or from both. To evaluate clinical characteristics, angiography, and relationship to the result of endovascular treatment of indirect carotid cavernous fistulas. A prospective study of 32 patients diagnosed to identify ICCFs through digital subtraction angiography (DSA) and intravascular intervention. Results showed that indirect carotid cavernous fistulas were more common in females of advanced age (68.8%) and occurred spontaneously (87.5%); the most common symptoms included chemosis (93.75%), headache (87.5%), proptosis (53.1%), and tinnitus (37.5%) with type D being the most common (81.2%). Thirty out of thirty-two patients with intervention had complete flow block (83.3%), near complete (13.3%), and failure in one case. Incomplete occlusion interventions and failures were of the type D complication. The complication and number of drainage veins are related (p
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