KẾT QUẢ CAN THIỆP NỘI MẠCH ĐIỀU TRỊ RÒ ĐỘNG MẠCH CẢNH XOANG HANG CHẤN THƯƠNG BẰNG VÒNG XOẮN KIM LOẠI: NGHIÊN CỨU 74 TRƯỜNG HỢP

Abstract

Obiectives: describe some clinical features, imaging characteristics and treatment results by Endovascular treatment (ET) on patient with Traumatic carotid cavernous fistula (TCCF). Methods: Case series study design, retrospective medical records of 74 patients with TCCFs, who was treated by ET with detachable coils at Choray hospital from 01/2019 to 06/2021. The efficacy and safety were evaluated by variants: Complete or partial occlusion, clinical improvenment, the preservation of the internal carotid artery (ICA), procedural complications and recurrence at the 3-month follow-up after ET.  Results: Patients with clinical improvement achieved 73/74 patients (98.6%), of which complete occlusion was 67 patients, partial occlusion in 6 patients and treatment failure in 1 patient. The preservation of the ICA was observed in 69/74 (93.2%) cases. Procudre-related complications were recorded with 2 cases of transient ischemic attack, 1 case with coils herniation into the ICA and 1 case with left-side weakness. No cases of recurrence or death were reported within 3 months of clinical follow-up after ET. Conclusions: Endovascular treatment with detachable coils is a highly safe and effective method to treat traumatic carotid cavernous fistula. Detachable coils may increase the ability to preserve the internal common artery.