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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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