Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas
Objective: to study the results of treatment in patients with direct high-flow carotid-cavernous fistulas with their transarterial occlusion using detachable balloons and microcoils.Material and methods. Thirty-five patients underwent surgery using detachable balloons and microcoils. The clinical pi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Luchevaya Diagnostika, LLC
2020-11-01
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| Series: | Вестник рентгенологии и радиологии |
| Subjects: | |
| Online Access: | https://www.russianradiology.ru/jour/article/view/591 |
| _version_ | 1826587758225784832 |
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| author | A. E. Petrov S. А. Goroshchenko L. V. Rozhchenko K. A. Samochernykh |
| author_facet | A. E. Petrov S. А. Goroshchenko L. V. Rozhchenko K. A. Samochernykh |
| author_sort | A. E. Petrov |
| collection | DOAJ |
| description | Objective: to study the results of treatment in patients with direct high-flow carotid-cavernous fistulas with their transarterial occlusion using detachable balloons and microcoils.Material and methods. Thirty-five patients underwent surgery using detachable balloons and microcoils. The clinical picture in all patients was represented by pulsating exophthalmos, ptosis on the side of the lesion, ophthalmoplegia, and conjunctival chemosis.Results. In all patients closure of carotid-cavernous fistulas and reversal of symptoms were achieved after primary surgery. Internal carotid artery reconstruction with microcoils could be achieved significantly more often than that with balloons. An anastomotic recurrence was significantly more common in patients undergoing surgery with balloons.Conclusion. The use of microcoils allows to perform reconstructive surgery significantly more frequently, while the recurrence rate is significantly lower than after using the balloons. |
| first_indexed | 2024-03-08T10:22:02Z |
| format | Article |
| id | doaj.art-d3dd438d64f04b4e931eb8f6917d7976 |
| institution | Directory Open Access Journal |
| issn | 0042-4676 2619-0478 |
| language | English |
| last_indexed | 2025-03-14T16:30:31Z |
| publishDate | 2020-11-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj.art-d3dd438d64f04b4e931eb8f6917d79762025-02-21T12:05:29ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782020-11-01101528328710.20862/0042-4676-2020-101-5-283-287349Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous FistulasA. E. Petrov0S. А. Goroshchenko1L. V. Rozhchenko2K. A. Samochernykh3Polenov Russian Scienific Research Institute of Neurosurgery - Branch of Almazov National Medical Research Centre, Ministry of Health of the Russian FederationPolenov Russian Scienific Research Institute of Neurosurgery - Branch of Almazov National Medical Research Centre, Ministry of Health of the Russian FederationPolenov Russian Scienific Research Institute of Neurosurgery - Branch of Almazov National Medical Research Centre, Ministry of Health of the Russian FederationPolenov Russian Scienific Research Institute of Neurosurgery - Branch of Almazov National Medical Research Centre, Ministry of Health of the Russian FederationObjective: to study the results of treatment in patients with direct high-flow carotid-cavernous fistulas with their transarterial occlusion using detachable balloons and microcoils.Material and methods. Thirty-five patients underwent surgery using detachable balloons and microcoils. The clinical picture in all patients was represented by pulsating exophthalmos, ptosis on the side of the lesion, ophthalmoplegia, and conjunctival chemosis.Results. In all patients closure of carotid-cavernous fistulas and reversal of symptoms were achieved after primary surgery. Internal carotid artery reconstruction with microcoils could be achieved significantly more often than that with balloons. An anastomotic recurrence was significantly more common in patients undergoing surgery with balloons.Conclusion. The use of microcoils allows to perform reconstructive surgery significantly more frequently, while the recurrence rate is significantly lower than after using the balloons.https://www.russianradiology.ru/jour/article/view/591carotid-cavernous fistuladetachable balloonmicrocoilreconstructive surgery |
| spellingShingle | A. E. Petrov S. А. Goroshchenko L. V. Rozhchenko K. A. Samochernykh Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas Вестник рентгенологии и радиологии carotid-cavernous fistula detachable balloon microcoil reconstructive surgery |
| title | Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas |
| title_full | Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas |
| title_fullStr | Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas |
| title_full_unstemmed | Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas |
| title_short | Results of Endovascular Treatment for High-Flow Direct Carotid-Cavernous Fistulas |
| title_sort | results of endovascular treatment for high flow direct carotid cavernous fistulas |
| topic | carotid-cavernous fistula detachable balloon microcoil reconstructive surgery |
| url | https://www.russianradiology.ru/jour/article/view/591 |
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