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The recovery time of traumatic carotid-cavernous fistula-induced oculomotor nerve paresis after endovascular treatment with detachable balloons
- Source :
- Journal of neuroradiology = Journal de neuroradiologie. 41(5)
- Publication Year :
- 2013
-
Abstract
- Summary Purpose The recovery time of traumatic carotid-cavernous fistula-induced oculomotor nerve paresis (ONP) after endovascular embolization with detachable balloons has not yet been adequately evaluated. This study was performed to make a deep analysis of the factors, which affect the prognosis of ONP after endovascular treatment of traumatic carotid-cavernous fistula (TCCF). Materials and methods We retrospectively evaluated the clinical characteristics and the outcome of oculomotor nerve function in a series of 98 consecutive patients with ONP due to traumatic carotid-cavernous fistula which were endovascular treated with detachable balloons. Univariate analysis was applied to test the association between the time of ONP recovery and clinical variables. Results Ninety-eight consecutive patients (62 males, 36 females, mean age 34.2 ± 12.7 years) having presented with ONP underwent endovascular treatment with detachable balloons were enrolled in this study. ONP was complete in 22 (22.4%) patients and partial in 76 (77.6%) patients. Ninety (91.8%) patients were successfully occluded by single-session endovascular embolization. Retreatments by transarterial routes had to be performed in 8 (8.2%) patients because of recurrent fistula having occurred within 4 weeks after embolization. ONP was recovered completely in all the patients, among who 4 (4.1%) were treated with occlusion of internal carotid artery. Factors showing significant association with the recovery time of ONP were the location of the fistula (P = 0.007), the degree of preoperative ONP (P = 0.003), the number of detachable balloon used (P = 0.000) and the length of ONP before endovascular treatment (P = 0.000). Conclusion Endovascular treatment of traumatic carotid-cavernous fistula-induced ONP with detachable balloons is a safe and effective method. The length of ONP before endovascular treatment, the location of the fistula, the degree of preoperative ONP, the number of detachable balloons used were the statistically significant predictors of the length of ONP complete recovery.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Fistula
medicine.medical_treatment
Young Adult
Carotid-Cavernous Sinus Fistula
medicine.artery
Occlusion
medicine
Oculomotor Nerve Diseases
Humans
Radiology, Nuclear Medicine and imaging
Embolization
Endovascular treatment
Child
Carotid-cavernous fistula
Retrospective Studies
Univariate analysis
Radiological and Ultrasound Technology
business.industry
Recovery of Function
Middle Aged
medicine.disease
Embolization, Therapeutic
Surgery
Radiography
Treatment Outcome
Oculomotor nerve paresis
Female
Neurology (clinical)
Radiology
Internal carotid artery
business
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 01509861
- Volume :
- 41
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of neuroradiology = Journal de neuroradiologie
- Accession number :
- edsair.doi.dedup.....5b3121a7f7e862440d29c0bb0be524c2