Systematic Analysis of the Risk Factors Affecting the Recurrence of Traumatic Carotid-Cavernous Sinus Fistula

World Neurosurgery
Tzu-Chin LinYin-Cheng Huang

Abstract

The current therapies for traumatic carotid-cavernous sinus fistula (tCCF) yield a variable rate of recurrence and produce different results. We analyzed factors among traumatic head injury to identify the risk factors in recurrent tCCFs. We retrospectively reviewed patients who were diagnosed with tCCFs from January 2004 to December 2014 in a tertiary referral center. The factors that were analyzed included age, sex, associated injury, clinical presentation, interval from injury to interventions, interventions for tCCFs, and pathologic characters of tCCFs under digital subtraction angiography. A total of 55 patients with 56 tCCFs (1 bilateral tCCF) were included. Thirty-nine patients (40 tCCFs) were treated successfully in single session of a procedure, whereas 16 patients (16 tCCFs) experienced a recurrence of tCCF. In multivariate analysis, we found that the involvement of C2 or C4 segments (Debrun classification) of intracavernous internal carotid artery is an independent risk factor (hazard ratio [HR] 2.95, 95% confidence interval [95% CI] 1.34-6.52; P < 0.01) for the recurrence of tCCFs. Endovascular coil embolization demonstrated superior efficacy in successful interventions of tCCFs compared with detachable balloons (HR...Continue Reading

References

Jan 1, 1985·Ultrasound in Medicine & Biology·D N KuD E Strandness
Nov 1, 1981·Journal of Neurosurgery·G DebrunJ P Caron
Jan 1, 1982·Journal of Biomechanics·B K BharadvajD P Giddens
Feb 8, 2005·Neurosurgery Clinics of North America·Andrew J RingerThomas A Tomsick
Sep 14, 2006·Neuroradiology·Arun K GuptaBejoy Thomas
Jan 13, 2009·European Radiology·Andrea BinkRichard du Mesnil de Rochemont
May 16, 2009·Neuroimaging Clinics of North America·Joseph J GemmeteDheeraj Gandhi
May 22, 2009·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Joseph J GemmeteDheeraj M Gandhi
Mar 20, 2010·AJNR. American Journal of Neuroradiology·Andrea BinkR du Mesnil de Rochemont
Sep 16, 2010·Current Treatment Options in Neurology·Joseph J GemmeteSameer Ansari
Oct 5, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Wu WangPei-Lai Zhang
Jan 22, 2013·Journal of the Chinese Medical Association : JCMA·Chao-Bao LuoCheng-Yen Chang
Feb 14, 2013·World Neurosurgery·Andrew F DucruetCameron G McDougall

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