scholarly journals Early Intracerebral Hemorrhage Complicating the Successful Occlusion of a Carotid-Cavernous Fistula

2002 ◽  
Vol 8 (2) ◽  
pp. 209-212
Author(s):  
H.J. Cloft ◽  
F.C. Tong ◽  
G.J. Joseph ◽  
J.E. Dion ◽  
D.L. Barrow
Keyword(s):  
Intracerebral Hemorrhage ◽  
Perfusion Pressure ◽  
Normal Pressure ◽  
Aneurysm Rupture ◽  
Balloon Occlusion ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Normal Perfusion Pressure Breakthrough ◽  
Endovascular Balloon Occlusion ◽  
Direct Carotid Cavernous Fistula

A 74-year-old woman with a direct carotid-cavernous fistula secondary to aneurysm rupture was treated by endovascular balloon occlusion of the fistula. Two days later, she suffered an intracerebral hemorrhage ipsilateral to the treated carotid cavernous fistula, perhaps due to normal perfusion pressure breakthrough. Normal perfusion pressure breakthrough has been described as a cause of hemorrhage following treatment of arteriovenous malformations and carotid stenosis. We report an unusual case of therapeutic endovascular occlusion of a direct carotid-cavernous fistula complicated by hemorrhage presumably caused by normal pressure perfusion breakthrough.

scholarly journals Treatment of a Traumatic Carotid-Cavernous Fistula with a Covered Stent: Some Considerations

2009 ◽  
Vol 15 (2) ◽  
pp. 191-196 ◽  
Author(s):  
F.J.A. Meijer ◽  
A.M. Van Der Vliet
Keyword(s):  
Carotid Artery ◽  
Stent Placement ◽  
Covered Stent ◽  
Balloon Occlusion ◽  
Covered Stents ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Limited Experience ◽  
Coil Occlusion ◽  
Direct Carotid Cavernous Fistula

This article discusses some considerations concerning covered stent placement in a patient with a traumatic direct carotid-cavernous fistula. Our case supports recent reports in the literature that covered stent placement can be an acceptable alternative when detachable balloon occlusion or coil occlusion of a direct carotid-cavernous fistula fails or cannot be done. Positioning of a covered stent in the internal carotid artery can be technically challenging. No specific covered stents for neurovascular use have been designed or registered. Because of limited experience with covered stent placement in the carotid artery the optimal preventive and therapeutic strategies for thromboembolic complications are not known.

Venous rupture during transvenous approach to a carotid-cavernous fistula

1989 ◽  
Vol 71 (1) ◽  
pp. 133-137 ◽  
Author(s):  
Wesley A. King ◽  
Grant B. Hieshima ◽  
Neil A. Martin
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Balloon Occlusion ◽  
Alternative Methods ◽  
Ocular Motility ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
A Minor ◽  
Transvenous Approach

✓ An attempt at transfemoral transarterial balloon occlusion of a high-flow spontaneous carotid-cavernous fistula was unsuccessful because the carotid artery rent was too small for this approach. During a subsequent transvenous approach to the cavernous sinus through the jugular vein, the inferior petrosal sinus was perforated. A minor subarachnoid hemorrhage occurred before the tear could be sealed by the deposition of three Gianturco coils in the vein. The patient was taken to the operating room for emergency obliteration of the fistula and petrosal sinus in order to remove the risk of further hemorrhage. Under the guidance of intraoperative digital subtraction angiography, isobutyl-2-cyanoacrylate was injected directly into the surgically exposed cavernous sinus. Successful obliteration of the fistula was achieved with preservation of the carotid artery, and the angiography catheter was removed safely from the petrosal sinus. Although initially after surgery the patient had nearly complete ophthalmoplegia, at her 1-year follow-up examination she had normal ocular motility and visual acuity. The transvenous approach to the cavernous sinus and alternative methods of treatment of carotid-cavernous fistulas are discussed.

Balloon Occlusion of a Recurrent Carotid-Cavernous Fistula Previously Treated by Carotid Ligations

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 643-648 ◽  
Author(s):  
O'Reilly Gerald V. ◽  
John Shillito ◽  
Hani A. Haykal ◽  
Jonathan Kleefield ◽  
Wang Ay-Ming ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Balloon Catheter ◽  
Balloon Occlusion ◽  
Intracranial Bleeding ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Previously Treated

Abstract A carotid-cavernous fistula recurred 16 years after a Hamby procedure. The recurrence was manifested by subarachnoid hemorrhage originating from dilated draining pial veins. The fistula was closed with a balloon catheter introduced through a patent remnant of the cervical carotid artery. Patients who have previously undergone Hamby trapping and embolization should be reassessed for an occult fistula that could predispose them to intracranial bleeding.

scholarly journals Brainstem Congestion Caused by Direct Carotid-Cavernous Fistula-Case Report-

2003 ◽  
Vol 43 (5) ◽  
pp. 255-258 ◽  
Author(s):  
Hidetoshi MURATA ◽  
Takeshi KUBOTA ◽  
Masao MURAI ◽  
Hiroshi KANNO ◽  
Satoshi FUJII ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Direct Carotid Cavernous Fistula

scholarly journals A novel approach to the treatment of a direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV

2014 ◽  
Vol 2014 (nov24 1) ◽  
pp. bcr2014011414-bcr2014011414 ◽  
Author(s):  
I. Nakagawa ◽  
H. S. Park ◽  
T. Wada ◽  
K. Takayama ◽  
H. Nakagawa ◽  
...  
Keyword(s):  
Syndrome Type ◽  
Carotid Cavernous Fistula ◽  
Ehlers Danlos Syndrome ◽  
Cavernous Fistula ◽  
Type Iv ◽  
Novel Approach ◽  
Danlos Syndrome ◽  
Direct Carotid Cavernous Fistula
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