Etyopatolojiden Tedavi Hedeflerine Karotikokavernöz Fistül

Karotikokavernöz fistül (KKF) , karotid arterin internal veya eksternal dallarının kavernöz sinüs ile anormal olarak bağlantılı hale gelmesidir. Konjenital, spontan veya kafa travmalarından sonra görülebilir. En basit olarak direk ve indirek sınıflandırılırlar. Günümüzde hemodinamik özelliklerine ve anjiografik verilere göre de sınıflama yapılmaktadır. Kesin tanıda altın standart serebral anjiografidir. Konservatif tedavi , endovasküler tedavi, nöroşirurjikal tedavi ve radyo-cerrahi tedavi seçenekleridir. Bu derleme makalenin amacı, hayati öneme sahip olan KKF’leri güncel literatür ile bilgi vererek hatırlatmaktır.

Caroticocavernous Fistula : From Etiopathology to Targeted Treatment

Carotid cavernous fistula (CCF) is abnormal communications between the internal carotid artery (ICA) or the external carotid artery and their branches and the cavernous sinüs.The simplest classification divides CCFs into direct and indirect fistulae. Current classifications include hemodynamic features or the angiographic examination. . Cerebral angiography is the gold standard for the definitive diagnosis. Conservative treatment, endovascular treatment, neurosurgery and radiosurgery constitute treatment options for these lesions . This review article aims to remember about CCF’s that are vital entity, and to provide information on the carotid -cavernous fistula with current literatüre.

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  • Referans1 Albayram S, Selcuk H, Ulus S, Selcuk D, Kocer N, Islak C.(2004). Endovascular treatment of a congenital dural caroticocavernous fistula. Pediatr Radiol, 34(8), 644- 648 .
  • Referans2 MK, Clark RD, Fallor MK .(1983). Spontaneous carotid-cavernous fistula and the Ehlers-Danlos syndromes. Ophthalmology, 90, 1330 -1337. Halbach VV, Hieshima GB, Higashida RT.(1987). Carotid cavernous fistulae: indications for urgent treatment. AJR Am J Roentgenol, 149 (3), 587-593. Halbach vd.1987,ss.587-93
  • Referans3 Helmke K, Krüger O, Laas R.(1994). The direct carotid cavernous fistula: a clinical, pathoanatomical, and physical study. Acta Neurochir (Wien), .127, 1-5.
  • Hirai T, Korogi Y, Goto K.(1996). Carotid-cavernous sinus fistula and aneurysmal rupture associated with fibromuscular dysplasia. A case report. Acta Radiol, 37, 49 -51.
  • Referans4 Karaman E, Isildak H, Haciyev Y, Kaytaz A, Enver O. (2009).Carotid-cavernous fistula after functional endoscopic sinus surgery. J Craniofac Surg. 20(2),556-558.
  • Referans5 Keltner, J. L. et al. Ophthalmology. 1987 ; 94(12):1585–600.
  • Referans6 M, Henkes H, Liebig T.(2006). Endovascular management of dural carotid-cavernous sinus fistulas in 141 patients. Neuroradiology. 48(7),486-490 . Kirsch vd.2006,ss.486-90
  • Referans7 Korkmazer B, Kocak B, Tureci E, Islak C, Kocer N, Kizilkilic O.(2013) Endovascular treatment of carotid cavernous sinus fistula: A systematic review. World J Radiol. 5(4), 143– 55 .
  • Referans8 Miller, N. R.(2005) “Carotid-Cavernous Sinus Fistulas,” Walsh and Hoyt’s Clinical Neuro-Ophthalmology, 6th ed. Lippincott, Williams & Wilkins. Baltimore ,2263-2296 .
  • Referans9 Miller NR, Monsein LH, Debrun GM .(1983) .Treatment of carotid-cavernous sinus fistulas using a superior ophthalmic vein approach. J Neurosurg, 83, 838– 842.
  • Referans10 P, Lo Muzio L, Cortelazzi R.(1995). Cavernous sinus-carotid fistula: a complication of maxillofacial injury. Int J Oral Maxillofac Surg.24,276–278 .
  • Referans11 Y, Higashida RT, Abernathy JM, Pisarello JC.(1987). Balloon embolization in a carotid-cavernous fistula in fibromuscular dysplasia. AJNR Am J Neuroradiol. 8,380-382 .
  • Referans12 A.J, Salud L, Tomsick T.A (2005).Carotid cavernous fistulas: anatomy, classification, and treatment Neurosurg Clin N Am. 16, 279–295.
  • Referans13 HT, Van der Vliet AM, Keyser A, Thijssen HO, Merx JL, Brands HF.(1998) Bilateral spontaneous carotid-cavernous fistulas, associated with systemic hypertension and generalized arteriosclerosis: A case report. J Neurol Neurosurg Psychiatry. 51,1003-1005.
  • Referans14 Soo Yu, Soo Hyang Lee, Hyun Woo Shin, and Pil Dong Cho.(2015) Traumatic Carotid-Cavernous Sinus Fistula in a Patient with Facial Bone Fractures. Arch Plast Surg. 42(6), 791–793 .
  • Referans15 DC, Lee JH, Kim SJ.(2005). New concept in cavernous sinus dural arteriovenous fistula: correlation with presenting symptom and venous drainage patterns. Stroke. 36(6),1134-1139 .
  • Referans16 A.J, Chua M, Fusco M, Ogilvy C.S, Tubbs R.S , Harrigan M.R , Griessenauer C.J.(2015). Proposal of Venous Drainage–Based Classification System for Carotid Cavernous Fistulae With Validity Assessment in a Multicenter Cohort Neurosurgery. 77 (3): 380-385 .
  • Referans17 C, Xie X, You C, Zhang C, Cheng M, He M.(2009). Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas. AJNR Am J Neuroradiol. 30,1342-1346.
  • Referans18 WK, Kim YW, Kim SR, Park IS, Kim SD, Baik MW. (2009).Transarterial coil embolization of a carotid-cavernous fistula which occurred during stent angioplasty. Acta Neurochir (Wien). 151,849–853 .
  • Referans19 JS, Lei T, Chen JC, He Y, Chen J, Li L. (2008).Diagnosis and endovascular treatment of spontaneous direct carotid-cavernous fistula. Chin Med J (Engl).121(16),1558-1562 .