CAROTID CAVERNOUS SINUS FISTULA FINDINGS IN OCTA BEFORE AND AFTER PERCUTANEOUS EMBOLIZATION.

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Maria del Mar Schilt-Catafal ◽  
Félix Pastor-Escartín ◽  
Ana Martínez-Piñero ◽  
Paulina Neira-Ibáñez ◽  
Laura Manfreda-Domínguez ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Percutaneous Embolization ◽  
Before And After ◽  
Carotid Cavernous Sinus Fistula

External carotid-cavernous sinus fistula diagnosed by common carotid arteriography

1974 ◽  
Vol 41 (4) ◽  
pp. 494-498 ◽  
Author(s):  
Louis Wener ◽  
Giovanni Di Chiro ◽  
Robert A. Mendelsohn
Keyword(s):  
Cavernous Sinus ◽  
Carotid Arteries ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Carotid Cavernous Sinus Fistula ◽  
The Difference ◽  
Fine Print

✓ An external carotid-cavernous fistula diagnosed by serial common carotid arteriography is reported. The diagnosis was reached on the basis of the difference in time between filling of the distal internal and external carotid arteries and the visualization of the fistula.

scholarly journals Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
A. Giotakis ◽  
F. Kral ◽  
H. Riechelmann ◽  
M. Freund
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Gold Standard ◽  
State Of The Art ◽  
Low Flow ◽  
Digital Subtraction ◽  
Review Of The Literature ◽  
Therapeutic Procedures ◽  
Carotid Cavernous Sinus Fistula

We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA). DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised.

scholarly journals Traumatic Carotid-Cavernous Sinus Fistula with Delayed Epistaxis

1994 ◽  
Vol 73 (6) ◽  
pp. 408-411 ◽  
Author(s):  
Brad Millman ◽  
Neil A. Giddings
Keyword(s):  
Cavernous Sinus ◽  
Carotid Cavernous Sinus Fistula

scholarly journals Detachable balloon embolization as the preferred treatment option for traumatic carotid-cavernous sinus fistula?

2019 ◽  
Vol 26 (1) ◽  
pp. 90-98
Author(s):  
Yin Niu ◽  
Tunan Chen ◽  
Jun Tang ◽  
ZhouYang Jiang ◽  
Gang Zhu ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Coil Embolization ◽  
Treatment Options ◽  
Detachable Balloon ◽  
Double Balloon ◽  
Carotid Cavernous Sinus Fistula ◽  
Balloon Technique ◽  
Glue Embolization ◽  
Balloon Embolization

Objective The purpose of the study was to investigate the treatments and outcomes of patients with traumatic carotid-cavernous sinus fistula (TCCF). Methods All patients diagnosed with TCCF at our institution from January 2013 to December 2018 and meeting the inclusion/exclusion criteria were included in the study. Results A total of 24 patients were included in this study. Of them, 21 (87.5%) were treated with detachable balloon embolization, 1 (4%) with coil embolization, 1 (4%) with balloon-assisted coil embolization, and 1 (4%) with balloon-assisted coil and glue embolization. Among the 21 patients treated with detachable balloon embolization, 10 underwent double-balloon technique embolization including double-detachable balloon embolization (n = 6) and balloon-assisted detachable balloon embolization (n = 4). The fistulas in 17 patients (17/21, 81%) were successfully occluded after the first attempt of detachable balloon embolization, while those in the remaining 4 patients were occluded after a second surgery due to TCCF recurrence or pseudoaneurysm development. Preservation of the internal carotid artery (ICA) was observed in 19 cases after the first treatment by detachable balloon embolization (19/21, 90.4%). ICA was occluded in the remaining two patients, as revealed by a complete angiographic evaluation of the circle of Willis. All patients achieved complete resolution of ocular and orbital manifestations as well as pulsatile bruit, except for three patients whose oculomotorius and/or abducens remained paralyzed during the follow-up period. Conclusion Although several endovascular treatment options are available for TCCF, the detachable balloon embolization is still the preferred method of TCCF, as evidenced in our study. Furthermore, double balloon technique, an improvement upon the conventional detachable balloon embolization, is extremely safe and can effectively treat patients with refractory TCCF.

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