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Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center

BACKGROUND AND PURPOSE: This study evaluated the clinical value of detachable-balloon embolization for traumatic carotid-cavernous fistula (TCCF), focusing on the frequency, risk factors, and retreatment of recurrence. METHODS: Fifty-eight patients with TCCF underwent transarterial detachable-balloo...

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Autores principales: Xu, Xiao-Quan, Liu, Sheng, Zu, Qing-Quan, Zhao, Lin-Bo, Xia, Jin-Guo, Zhou, Chun-Gao, Zhou, Wei-Zhong, Shi, Hai-Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurological Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633195/
https://www.ncbi.nlm.nih.gov/pubmed/23626645
http://dx.doi.org/10.3988/jcn.2013.9.2.83
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author Xu, Xiao-Quan
Liu, Sheng
Zu, Qing-Quan
Zhao, Lin-Bo
Xia, Jin-Guo
Zhou, Chun-Gao
Zhou, Wei-Zhong
Shi, Hai-Bin
author_facet Xu, Xiao-Quan
Liu, Sheng
Zu, Qing-Quan
Zhao, Lin-Bo
Xia, Jin-Guo
Zhou, Chun-Gao
Zhou, Wei-Zhong
Shi, Hai-Bin
author_sort Xu, Xiao-Quan
collection PubMed
description BACKGROUND AND PURPOSE: This study evaluated the clinical value of detachable-balloon embolization for traumatic carotid-cavernous fistula (TCCF), focusing on the frequency, risk factors, and retreatment of recurrence. METHODS: Fifty-eight patients with TCCF underwent transarterial detachable-balloon embolization between October 2004 and March 2011. The clinical follow-up was performed every 3 months until up to 3 years postprocedure. Each patient was placed in either the recurrence group or the nonrecurrence group according to whether a recurrence developed after the first procedure. The relevant factors including gender, fistula location, interval between trauma and the interventional procedure, blood flow in the carotid-cavernous fistula, number of balloons, and whether the internal carotid artery (ICA) was sacrificed were evaluated. RESULTS: All 58 TCCFs were successfully treated with transarterial balloon embolization, including 7 patients with ICA sacrifice. Recurrent fistulas occurred in seven patients during the follow-up period. Univariate analysis indicated that the interval between trauma and the interventional procedure (p=0.006) might be the main factor related to the recurrence of TCCF. The second treatments involved ICA sacrifice in two patients, fistula embolization with balloons in four patients, and placement of a covered stent in one patient. CONCLUSIONS: Detachable balloons can still serve as the first-line treatment for TCCFs and recurrent TCCFs despite having a nonnegligible recurrence rate. Shortening the interval between trauma and the interventional procedure may reduce the risk of recurrence.
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spelling pubmed-36331952013-04-26 Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center Xu, Xiao-Quan Liu, Sheng Zu, Qing-Quan Zhao, Lin-Bo Xia, Jin-Guo Zhou, Chun-Gao Zhou, Wei-Zhong Shi, Hai-Bin J Clin Neurol Original Article BACKGROUND AND PURPOSE: This study evaluated the clinical value of detachable-balloon embolization for traumatic carotid-cavernous fistula (TCCF), focusing on the frequency, risk factors, and retreatment of recurrence. METHODS: Fifty-eight patients with TCCF underwent transarterial detachable-balloon embolization between October 2004 and March 2011. The clinical follow-up was performed every 3 months until up to 3 years postprocedure. Each patient was placed in either the recurrence group or the nonrecurrence group according to whether a recurrence developed after the first procedure. The relevant factors including gender, fistula location, interval between trauma and the interventional procedure, blood flow in the carotid-cavernous fistula, number of balloons, and whether the internal carotid artery (ICA) was sacrificed were evaluated. RESULTS: All 58 TCCFs were successfully treated with transarterial balloon embolization, including 7 patients with ICA sacrifice. Recurrent fistulas occurred in seven patients during the follow-up period. Univariate analysis indicated that the interval between trauma and the interventional procedure (p=0.006) might be the main factor related to the recurrence of TCCF. The second treatments involved ICA sacrifice in two patients, fistula embolization with balloons in four patients, and placement of a covered stent in one patient. CONCLUSIONS: Detachable balloons can still serve as the first-line treatment for TCCFs and recurrent TCCFs despite having a nonnegligible recurrence rate. Shortening the interval between trauma and the interventional procedure may reduce the risk of recurrence. Korean Neurological Association 2013-04 2013-04-04 /pmc/articles/PMC3633195/ /pubmed/23626645 http://dx.doi.org/10.3988/jcn.2013.9.2.83 Text en Copyright © 2013 Korean Neurological Association http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Xu, Xiao-Quan
Liu, Sheng
Zu, Qing-Quan
Zhao, Lin-Bo
Xia, Jin-Guo
Zhou, Chun-Gao
Zhou, Wei-Zhong
Shi, Hai-Bin
Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title_full Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title_fullStr Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title_full_unstemmed Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title_short Follow-Up of 58 Traumatic Carotid-Cavernous Fistulas after Endovascular Detachable-Balloon Embolization at a Single Center
title_sort follow-up of 58 traumatic carotid-cavernous fistulas after endovascular detachable-balloon embolization at a single center
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633195/
https://www.ncbi.nlm.nih.gov/pubmed/23626645
http://dx.doi.org/10.3988/jcn.2013.9.2.83
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