Fogarty Balloon Catheterによる頸動脈海綿静脈洞瘻の1治験例

Treatment of Carotid Cavernous Fistula with Fogarty Balloon Catheter : Report of a Case

Ⅰ．はじめに

　頸動脈海綿静脈洞瘻（Carotid-cavernous fistula，以下CCFと略す）の治療は現在まで頸動脈結紮術^{1,14,15,26,28）}，各種の栓塞形成術^{4,5,9,20,23,24,30,38,43）}，trapping法^15,23），electrothrombosis法^19,29），および直達手術^32-34）が報告されている．

　1971年Prolo and HanberyがCCFの治療としてFogarty arterial enibolectonly catheter（以下Fogarty catheterと略す）によるintraluminal occiusionに成功し，簡単かつ安全な手術法として報告して以来，多くの人が追従している^{1,2,12,18,25,35,37,41）}．われわれも彼等の方法によりCCFを治癒せしめたので報告すると共に，いささか文献的考察を行いたいと思う．

Surgical methods for carotid cavernous fistula are numerous and often have limited success due to unique anatomical and physiological requirments as well known.

In 1971, Prolo and Hanbery reports a simple and safe technique for the treatment of carotid cavernous fistula using Fogarty balloon catheter which was passed up the internal carotid artery to the site of the fistula and inflated with contrast material under the fluoroscopy, thus obliterating fistula. Subsequent to this, several reports of treatment by this method were published. We also report a case of successfull result of this method.