KẾT QUẢ ĐIỀU TRỊ RÒ ĐỘNG TĨNH MẠCH MÀNG CỨNG VÙNG XOANG HANG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Background: Cavernous sinus dural arteriovenous fistulas (CSDAVFs) is abnormal communication between branches of the carotid arterial system and the cavernous sinus, which can lead to complex complications. A study conducted at Hanoi Medical University Hospital aimed to evaluate the effectiveness of endovascular intervention in treating this condition. Methods: This retrospective study included 25 patients diagnosed with and treated for CSDAVF at Hanoi Medical University Hospital, using endovascular intervention techniques with metallic coils and Onyx. Results: The study involved 25 patients with an average age of 59.2 ± 14.8. The most common symptoms were headaches (80%), proptosis (72%), and tinnitus (32%). Diagnostic imaging revealed right-sided lesions in 44% of patients, left-sided in 32%, and bilateral in 24%. Successful treatment with complete occlusion was achieved in 92% of cases. Complications, there was 1 case of mild cerebral hemorrhage that completely resolved and 1 case of cerebral infarction causing hemiparesis, accounting for 8% of the total cases. Conclusion: Endovascular intervention is a safe and effective method, ensuring a high success rate and low complication rate in the treatment of CSDAVF.