6533b871fe1ef96bd12d1864

RESEARCH PRODUCT

Radiosurgery of Carotid-Cavernous Fistulae

F. SolerG. HernándezJuan A. BarciaJ. L. Barcia-salorio

subject

medicine.medical_specialtymedicine.diagnostic_testbusiness.industrymedicine.medical_treatmentTotal doseStereotaxic techniquemedicineHigh flowbusinessRadiosurgerySurgeryCerebral angiography

description

25 cases of carotid-cavernous fistulae (CCF) who underwent radiosurgery with a conventional gamma source from 1977 to 1992 are reported. 22 were low-flow, spontaneous CCFs and 3 were high flow fistulae which had undergone a previous trApplng. The total dose delivered was 30 to 40 Gy. 91% to patients with low-flow CCF cured after radiosurgery in a mean time of 7.5 months, presenting improvent in a mean time of 2.3 months. Only one of the high-flow fistulae was cured. Follow-up period ranged between 14 years and 15 months (mean: 50 months). No recurrence was recorded in any case. While intravascular embolotherapy is the treatment of choice for high-flow fistulae, stereotactic radiosurgery may be the elective treatment for low-flow CCF.

yearjournalcountryeditionlanguage
1994-01-01
https://doi.org/10.1007/978-3-7091-9371-6_3