članak: 1 od 1  
Vojnosanitetski pregled
2008, vol. 65, br. 12, str. 923-926
jezik rada: srpski
prikaz slučaja
doi:10.2298/VSP0812923C

Endovaskularni tretman karotidno-kavernozne fistule tip A primenom platinskih spirala
aVojnomedicinska akademija
bPoznan University of Medical Sciences, Department of Neuroradiology, Poznan, Poland

e-adresa: slobostef@yahoo.com

Sažetak

Uvod. Karotidno-kavernozne fistule patološke su komunikacije između karotidnih arterija ili njihovih grana i kavernoznog sinusa i najčešće su prouzrokovane traumom. Posttraumatske fistule predstavljaju 70% svih karotidno-kavernoznih fistula i to su najčešće fistule visokog protoka (tip A). Taj tip fistula uvek daje izraženu očnu simptomatologiju. Prikaz bolesnika. Prikazan je bolesnik muškog pola, starosti 44 godine, sa ustrelnom povredom glave, kod koga se, kao posledica povrede razvila karotidno-kavernozna fistula. U kliničkoj slici postojali su egzoftalmus desnog oka, hemoza i slabljenje vida na tom oku, glavobolja i diplopija. Digitalnom suptrakcionom angiografijom postavljena je dijagnoza karotidno-kavernozne fistule visokog protoka, koja je bila vaskularizovana delom iz leve karotidne arterije, a delom iz vertebrobazilarnog sliva. Nakon završene dijagnostike, urađena je endovaskularna embolizacija platinskim spiralama transarterijskim putem. Kontrolnom angiografijom potvrđeno je da je fistula zatvorena. Zaključak. Embolizacija kompleksne karotidno-kavernozne fistule tip A uspešno je izvršena endovaskularnim putem, upotrebom platinskih spirala.

Ključne reči

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