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...

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Main Authors: A. E. Petrov, S. А. Goroshchenko, L. V. Rozhchenko, K. A. Samochernykh
Format: Article
Language:English
Published: Luchevaya Diagnostika, LLC 2020-11-01
Series:Вестник рентгенологии и радиологии
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Online Access:https://www.russianradiology.ru/jour/article/view/591
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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.
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publisher Luchevaya Diagnostika, LLC
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series Вестник рентгенологии и радиологии
spelling doaj-art-d3dd438d64f04b4e931eb8f6917d79762025-08-20T03:08:59ZengLuchevaya 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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AT sagoroshchenko resultsofendovasculartreatmentforhighflowdirectcarotidcavernousfistulas
AT lvrozhchenko resultsofendovasculartreatmentforhighflowdirectcarotidcavernousfistulas
AT kasamochernykh resultsofendovasculartreatmentforhighflowdirectcarotidcavernousfistulas