Case Report: Endovascular electrothrombosis treatment for carotid cavernous fistula caused by ruptured primitive trigeminal artery aneurysm.

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1559977
Yuhui Wan, Zengjing Cheng, Ziyan Lu, Dehong Yang, Zhaoliang Li, Kai Yang, Binglin Chen, Ailin Chen, Qing Zhu
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Abstract

Aneurysms of a persistent trigeminal artery (PTA) are exceptionally uncommon, and their rupture leading to a carotid-cavernous fistula (CCF) is even more extraordinary. The contemporary management of CCF predominantly revolves around endovascular approaches, with a variety of techniques such as detachable balloons or coils, coil embolization augmented with Onyx adhesive, and stent grafting. Herein, we report a successful intervention in a patient with a CCF instigated by a ruptured PTA aneurysm, employing a combination of detachable coils and endovascular electrothrombosis, yielding favorable outcomes.

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病例报告:血管内电血栓治疗原始三叉动脉瘤破裂所致颈动脉海绵瘘。
持续性三叉动脉(PTA)的动脉瘤是非常罕见的,其破裂导致颈动脉-海绵窦瘘(CCF)更是罕见。当代CCF的治疗主要围绕血管内入路,采用各种技术,如可拆卸的气球或线圈,用缟玛瑙粘合剂增强的线圈栓塞和支架植入术。在此,我们报告了一例由PTA动脉瘤破裂引发的CCF患者的成功干预,采用可拆卸线圈和血管内电血栓形成的组合,获得了良好的结果。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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