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Endovascular treatment of carotid cavernous sinus fistula: A systematic review 被引量:16
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作者 Bora Korkmazer Burak Kocak +3 位作者 Ercan Tureci Civan Islak naci kocer Osman Kizilkilics 《World Journal of Radiology》 CAS 2013年第4期143-155,共13页
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, he... 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. 展开更多
关键词 CAVERNOUS SINUS CAROTID CAVERNOUS SINUS FISTULA ENDOVASCULAR TREATMENT
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Endovascular treatment of extracranial vertebral artery stenosis 被引量:13
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作者 Burak Kocak Bora Korkmazer +2 位作者 Civan Islak naci kocer Osman Kizilkilic 《World Journal of Radiology》 CAS 2012年第9期391-400,共10页
Percutaneous angioplasty and stenting for the treatment of extracranial vertebral artery(VA) stenosis seems a safe,effective and useful technique for resolving symptoms and improving blood flow to the posterior circul... Percutaneous angioplasty and stenting for the treatment of extracranial vertebral artery(VA) stenosis seems a safe,effective and useful technique for resolving symptoms and improving blood flow to the posterior circulation,with a low complication rate and good long-term results.In patients with severe tortuosity of the vessel,stent placement is a real challenge.The new coronary balloon-expandable stents may be preferred.A large variability of restenosis rates has been reported.Drug-eluting stents may be the solution.After a comprehensive review of the literature,it can be concluded that percutaneous angioplasty and stenting of extracranial VA stenosis is technically feasible,but there is insufficient evidence from randomized trials to demonstrate that endovascular management is superior to best medical management. 展开更多
关键词 VERTEBRAL artery STENOSIS ENDOVASCULAR treatment STENT ANGIOPLASTY
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