颈动脉多孔的湾穴管的 Endovascular 治疗: 系统的评论

• 作者: Bora Korkmazer Burak Kocak Civan Islak Ercan Tureci Naci Kocer Osman Kizilkilics
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: CAVERNOUS SINUS CAROTID CAVERNOUS SINUS FISTULA ENDOVASCULAR treatment
• 年，卷（期）: 2013,（4）
• 页码范围: 143-155
• 页数: 13页
• 分类号: R543

摘要

Carotid cavernous sinus fistulas are abnormal communications between the carotid system and the cavernous sinus. Several classification schemes have described carotid cavernous sinus fistulas according to etiology, hemodynamic features, or the angiographic arterial architecture. Increased pressure within the cavernous sinus appears to be the main factor in pathophysiology. The clinical features are related to size, exact location, and duration of the fistula, adequacy and route of venous drainage and the presence of arterial/venous collaterals. Noninvasive imaging (computed tomography, magnetic resonance, computed tomography angiography, magnetic resonance angiography, Doppler) is often used in the initial workup of a possible carotid cavernous sinus fistulas. Cerebral angiography is the gold standard for the definitive diagnosis, classification, and planning of treatment for these lesions. The endovascular approach has evolved as the mainstay therapy for definitive treatment in situations including clinical emergencies. Conservative treatment, surgery and radiosurgery constitute other management options for these lesions.