@article{oai:sapmed.repo.nii.ac.jp:00008019,
 author = {井出, 渉 and 武田, 利兵衛 and 田中, 靖通 and 小林, 康雄 and 中村, 順一 and 末松, 克美},
 issue = {1},
 journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation},
 month = {Aug},
 note = {We report a case with bilateral traumatic carotid-cavernous fistulas (CCFs), successfully treated by staged bypass operation and endvascular surgery. Cerebral angiography demonstrated bilateral CCFs with high flow, and circulation delay of intracranial cerebral arteries. SPECT with mTc-hexamethyl-propylene-amine revealed the marked hypoperfusion on both carotid systems during balloon matas test of both carotid arteries. Namely it was noted revascularization of the anterior circulation was necessary when the obliterration of CCF would be performed. Firstly, trapping of left internal carotid artery and CCA-ICA bypass with interposed radial arterial graft was performed. After this procedure, detachable balloon embolization was tried on right side, but failed due to the angiospasm near the orifice of CCF. Secondly, trapping of right internal carotid artery and STA-MCA (M2) anastomosis was performed. Post-operative angiogram revealed disappearance of bilateral CCFs and excellent flow via bypass. Problems associated with the management of bilateral traumatic CCFs are discussed.},
 pages = {82--87},
 title = {両側性外傷性海綿動静脈洞瘻に対する staged bypass 手術の経験},
 volume = {2},
 year = {1989}
}