scholarly journals Transvenous treatment of a complex cavernous sinus dural arteriovenous fistula secondary to balloon embolization of a traumatic carotid-cavernous fistula

2006 ◽  
Vol 119 (21) ◽  
pp. 1846-1848 ◽  
Author(s):  
Jian HAI ◽  
Zuo-quan CHEN ◽  
Dong-feng DENG ◽  
Qing-gang PAN ◽  
Feng LING
2011 ◽  
Vol 154 (3) ◽  
pp. 465-469 ◽  
Author(s):  
Nobutaka Horie ◽  
Minoru Morikawa ◽  
Gohei So ◽  
Kentaro Hayashi ◽  
Kazuhiko Suyama ◽  
...  

2011 ◽  
Vol 17 (1) ◽  
pp. 104-107 ◽  
Author(s):  
H. Yoshino ◽  
H. Ishihara ◽  
F. Oka ◽  
S. Kato ◽  
M. Suzuki

A 60-year-old man with direct carotid cavernous fistula (CCF) due to a motor vehicle accident underwent internal carotid artery trapping following high-flow external carotid to internal carotid artery bypass (EC-IC bypass). Follow-up angiography revealed ipsilateral complex indirect cavernous arteriovenous fistula. Although the traumatic indirect CCF angioarchitecture differs from cavernous-sinus dural arteriovenous fistula (CS-DAVF), the present indirect fistula was similar to the latter. Complex indirect CCF can occur after treatment of direct CCF caused by severe head injury.


2020 ◽  
pp. 1-5
Author(s):  
Patrick J. Karas ◽  
Robert Y. North ◽  
Visish M. Srinivasan ◽  
Nathan R. Lindquist ◽  
K. Kelly Gallagher ◽  
...  

The classic presentation of a carotid-cavernous fistula (CCF) is unilateral painful proptosis, chemosis, and vision loss. Just as the goal of treatment for a dural arteriovenous fistula (dAVF) is obliteration of the entire fistulous connection and the proximal draining vein, the modern treatment of CCF is endovascular occlusion of the cavernous sinus via a transvenous or transarterial route. Here, the authors present the case of a woman with a paracavernous dAVF mimicking the clinical and radiographic presentation of a CCF. Without any endovascular route available to access the fistulous connection and venous drainage, the authors devised a novel direct hybrid approach by performing an endoscopic endonasal transsphenoidal direct puncture and Onyx embolization of the fistula.


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