间接颈动脉海绵窦瘘供血动脉的高阻力指数:一个诊断缺陷。

Q3 Medicine Acta neurologica Taiwanica Pub Date : 2019-09-15
Wen-Ting Lin, Bo-An Chen
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引用次数: 0

摘要

颈动脉海绵状瘘(CCFs)分为直接型和间接型,可归因于创伤、动脉粥样硬化、高血压、糖尿病、怀孕或绝经后状态(1)。脑血管造影是诊断CCFs的金标准。多普勒超声通常显示供血动脉血流速度增加和阻力指数(RI)降低,有助于诊断(2-3)。我们在此报告一例间接CCF,在供血动脉中表现为高RI,这主要归因于广泛性动脉粥样硬化改变,被认为是CCF的诊断缺陷。
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High Resistance Index in the Feeding Arteries of Indirect Carotidcavernous Fistulae: A Diagnostic Pitfall.

Carotid-cavernous fistulae (CCFs) are classified into the direct and indirect types, which can be attributed to trauma, atherosclerosis, hypertension, diabetes mellitus, pregnant or postmenopausal status(1). Cerebral angiography is the gold standard for the diagnosis of CCFs. Doppler ultrasound, which typically reveals increased blood flow velocity and decreased resistance index (RI) in the feeding arteries, can assist in the diagnosis(2-3). We herein report a case of indirect CCF presenting with high RI in the feeding arteries, which is mainly attributed to the generalized atherosclerotic change, and is regarded as a diagnostic pitfall of the CCFs.

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来源期刊
Acta neurologica Taiwanica
Acta neurologica Taiwanica Medicine-Neurology (clinical)
CiteScore
1.30
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0.00%
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0
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