scholarly journals Posttraumatic Intradural Internal Carotid Artery-Cavernous Sinus Fistula Associated with Ipsilateral Carotid Dissection

2004 ◽  
Vol 10 (1) ◽  
pp. 63-68 ◽  
Author(s):  
I. Oran ◽  
M. Parildar ◽  
A. Memis ◽  
T. Dalbasti
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Unusual Case ◽  
Internal Carotid ◽  
Carotid Dissection ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Detachable Coils ◽  
Carotid Cavernous Sinus Fistula ◽  
Direct Carotid Cavernous Fistula

We describe a relatively unusual case of traumatic direct carotid-cavernous fistula in association with a giant intradural venous pouch and ipsilateral carotid dissection, related to carotid artery fistula located in the supraclinoid segment just below the origin of posterior communicating artery. Endovascular therapy could be accomplished by use of detachable coils transarterially. Awareness of an unusual intradural origin of a carotid-cavernous sinus fistula and the possibility of an embolization should be kept in mind.

scholarly journals Endovascular Treatment of a Large Venous Pouch Direct Carotid Cavernous Fistula

2013 ◽  
Vol 26 (1) ◽  
pp. 89-93
Author(s):  
M. Mahmoud ◽  
M.H. Elsissy
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Vertebrobasilar System ◽  
Distal Aspect ◽  
Direct Carotid Cavernous Fistula

Endovascular treatment of direct carotid cavernous fistula (CCF) can be performed by either arterial or venous approaches. The aim is to disconnect the fistula with or without preservation of the internal carotid artery (ICA). The aim of this article is to describe a technique for embolization of the cavernous sinus and the ICA in direct CCF using coils. Trapping the distal aspect of the fistula using a retrograde navigation via the vertebrobasilar system and the posterior communicating artery was performed in two cases. Clinical and radiological evolutions are described.

scholarly journals Unilateral Direct Carotid Cavernous Fistula Causing Bilateral Ocular Manifestation

2015 ◽  
Vol 6 (3) ◽  
pp. 482-487 ◽  
Author(s):  
Zeferino Demartini Jr. ◽  
Fernando Liebert ◽  
Luana Antunes Maranha Gatto ◽  
Thiago Simiano Jung ◽  
Carlos Rocha Jr. ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Internal Carotid ◽  
Interventional Neuroradiology ◽  
Artery Wall ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Bilateral Presentation ◽  
Carotid Cavernous Sinus Fistula ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Unilateral carotid cavernous fistula presents with ipsilateral ocular findings. Bilateral presentation is only seen in bilateral fistulas, usually associated with indirect (dural) carotid cavernous fistulas. Direct carotid cavernous fistulas are an abnormal communication between the internal carotid artery and the cavernous sinus. They typically begin with a traumatic disruption in the artery wall into the cavernous sinus, presenting with a classic triad of unilateral pulsatile exophthalmos, cranial bruit and episcleral venous engorgement. We report the case of a 38-year-old male with traumatic right carotid cavernous sinus fistula and bilateral ocular presentation successfully treated by interventional neuroradiology.

scholarly journals Treatment of Carotid Cavernous Fistula Secondary to Rupture of a Giant Intracavernous Carotid Aneurysm

2003 ◽  
Vol 9 (3) ◽  
pp. 293-298 ◽  
Author(s):  
C.K. Kam ◽  
H. Alvarez ◽  
P. Lasjaunias
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Therapeutic Challenge ◽  
Intracavernous Aneurysm ◽  
Complete Closure ◽  
Direct Carotid Cavernous Fistula ◽  
Ophthalmic Arteries

Carotid cavernous fistula secondary to ruptured giant intracavernous aneurysm of the internal carotid artery is rare. We report a case of direct carotid cavernous fistula secondary to rupture of a giant intracavernous ICA aneurysm. The presence of mirror or twin aneurysms of bilateral ophthalmic arteries raises therapeutic challenge. Coiling of the intracavernous aneurysm could partially occlude the fistula. Complete closure of the fistula was facilitated by secondary carotid compression.

scholarly journals Guidewire-Induced Carotid Cavernous Fistula

2001 ◽  
Vol 7 (2) ◽  
pp. 161-165 ◽  
Author(s):  
T.-S. Kim ◽  
M. Ezura ◽  
A. Takahashi ◽  
S. Nishimura ◽  
T. Yoshimoto
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endovascular Embolization ◽  
Guglielmi Detachable Coils ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Small Branch ◽  
Detachable Coils

A rare case of carotid cavernous fistula occurring during endovascular embolization of the left carotid cave aneurysm in a 48-year-old female is reported. It was thought to be caused by the tear of a small branch derived from the intracavernous internal carotid artery while the guidewire was passing the sharp posterior bend of the intracavernous internal carotid artery. The left carotid cave aneurysm was completely occluded with five Guglielmi detachable coils assisted by neck plasty technique. It was decided to follow-up the carotid cavernous fistula since it was asymptomatic. Follow-up angiogram performed two weeks later revealed spontaneous obliteration of the carotid cavernous fistula.

scholarly journals Management of a Direct Carotid Cavernous Fistula Caused by Rupture of a Cavernous Aneurysm Previously Embolized with Coils

2003 ◽  
Vol 9 (3) ◽  
pp. 299-304
Author(s):  
W.L. Poon ◽  
H. Alvarez ◽  
P. Lasjaunias
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
High Flow ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Cavernous Fistula ◽  
Rare Association ◽  
Sequence Of Events ◽  
Fistula Site ◽  
Direct Carotid Cavernous Fistula

The development of a high-flow carotid-cavernous fistula from the rupture of a large cavernous aneurysm successfully embolized by coils is rare. A 50-year-old male patient developed a high-flow carotid-cavernous fistula 48 hours after successful coiling of a large left cavernous aneurysm, presumably due to rupture of a focal dissection at or close to the neck of the aneurysm. He initially responded to daily self-compression of the left common carotid artery, but the fistula recurred. After failing to approach the fistula site via transvenous route, balloon trapping of the internal carotid artery was planned. Prior to its placement for functional occlusion test, the detachable balloon slipped into the fistula site and occluded it. It was thereafter detached in this position. The sequence of events, a large cavernous aneurysm spontaneous ruptured after coiling, suggested dissecting process or disease. We address in the report the complexity of the endovascular management of this rare association.

scholarly journals Spontaneous Healing of Iatrogenic Direct Carotid Cavernous Fistula

2012 ◽  
Vol 18 (2) ◽  
pp. 187-190 ◽  
Author(s):  
H-J. Kwon ◽  
S-C. Jin
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Rare Complication ◽  
Posterior Segment ◽  
Carotid Cavernous Fistula ◽  
Spontaneous Healing ◽  
Cavernous Fistula ◽  
Close Observation ◽  
Direct Carotid Cavernous Fistula

Direct carotid-cavernous fistula (CCF) by selective navigation using a microcatheter or microwire is a rare complication, and its timing of treatment has not been elucidated. We report two cases of direct CCFs resulting from injury to the cavernous posterior segment of the internal carotid artery during selective navigation. We did not plan to perform emergent endovascular treatment for these direct CCFs because no symptoms related to direct CCFs developed. Follow-up angiography revealed spontaneous healing of both direct CCFs. Close observation rather than emergent treatment may represent another option for direct CCF by selective navigation during the endovascular procedure.

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