Spontaneous carotid - cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery

1974 ◽  
Vol 40 (4) ◽  
pp. 539-543 ◽  
Author(s):  
Sixto Obrador ◽  
Juan Gomez-Bueno ◽  
Javier Silvela
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Ruptured Aneurysm ◽  
Selective Angiography ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Internal Carotid Arteries

✓ The authors report a case in which the cause of a “spontaneous” carotid-cavernous fistula could not be demonstrated by selective angiography of external and internal carotid arteries. However, postmortem study of the cavernous sinuses revealed an unsuspected ruptured aneurysm of the internal carotid artery at the origin of the meningohypophyseal branch.

Reconstitution of “totally” occluded internal carotid arteries

1979 ◽  
Vol 50 (6) ◽  
pp. 747-757 ◽  
Author(s):  
Roger W. Countee ◽  
Thurairasah Vijayanathan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Injection Technique ◽  
Complete Relief ◽  
Content Type ◽  
Internal Carotid Arteries ◽  
Angiographic Technique ◽  
Fine Print

✓ The authors describe their experiences with five patients with delayed transient ischemic symptoms homolateral to internal carotid artery (ICA) occlusions. In each instance, initial arteriograms were interpreted as showing irreversible occlusions of these arteries in the neck and microvascular bypass procedures were contemplated. However, after repeat arteriographic evaluations with a modified injection technique, certain angiographic features were identified that suggested the mechanism of the symptoms in these patients and that their ICA's could be reconstituted in the neck. This was successfully accomplished in each patient with complete relief of ischemic symptoms. The angiographic technique employed and the arterial flow patterns identified in these patients are discussed. The details of the operative technique are described. It is concluded that routine arteriographic techniques may be inadequate to identify the reversible carotid occlusion. This may account for some of the confusion which surrounds the surgery of these vessels as well as the failure of extracranial-intracranial bypass to relieve recurrent ischemic symptoms in these individuals.

Transarterial closure of persistent carotid-cavernous fistula after carotid ligation

1984 ◽  
Vol 61 (2) ◽  
pp. 402-404
Author(s):  
John P. Kapp ◽  
Joga R. Pattisapu ◽  
J. Larry Parker
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Bifurcation ◽  
Fogarty Catheter ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Cervical Internal Carotid Artery ◽  
Fine Print

✓ A carotid-cavernous fistula which had recurred after trapping, embolization, intracranial packing with muscle, and excision of the cervical carotid bifurcation was successfully closed with a Fogarty catheter introduced through the fibrous remnant of the cervical internal carotid artery.

Calvarial hemangioma with blood supply from branches of the internal carotid artery

1971 ◽  
Vol 34 (6) ◽  
pp. 823-826 ◽  
Author(s):  
Naim K. Atallah ◽  
Sami I. Nassar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Blood Supply ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Middle Meningeal Artery ◽  
Content Type ◽  
Internal Carotid Arteries ◽  
Meningeal Artery ◽  
Fine Print

✓ The sources of blood supply of calvarial hemangiomas are not well established angiographically but have been reported to derive from the middle meningeal artery. A case is presented in which both the external and the internal carotid arteries supplied the hemangioma. The protean arteriographic picture is explained in terms of the various tissues the tumor involves (galea, calvarium, or meninges).

Intracranial stent placement for the treatment of a carotid—cavernous fistula associated with intracranial angioplasty

2003 ◽  
Vol 98 (5) ◽  
pp. 1116-1119 ◽  
Author(s):  
Stanley H. Kim ◽  
Adnan I. Qureshi ◽  
Alan S. Boulos ◽  
Bernard R. Bendok ◽  
Elad I. Levy ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
High Grade ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Fine Print

✓ The authors report a case of an iatrogenic carotid—cavernous fistula (CCF) associated with intracranial angioplasty. Angioplasty was performed using a 3 × 10-mm Open Sail coronary balloon in a patient with high-grade stenosis of the left cavernous internal carotid artery (ICA). After angioplasty, a perforation developed in the cavernous ICA, resulting in a CCF. A 3.5 × 9—mm S670 coronary stent was used to treat the fistula. To the authors' knowledge, this is the first reported case in which a CCF developed after angioplasty was performed using a coronary balloon. Long-term angiographic and clinical evaluation is needed to test the suitability and durability of intracranial angioplasty and stent placement in the treatment of symptomatic intracranial stenosis.

Giant traumatic false aneurysm of the internal carotid artery associated with a carotid-cavernous fistula

1981 ◽  
Vol 55 (5) ◽  
pp. 813-818 ◽  
Author(s):  
S. V. Ramana Reddy ◽  
Thoralf M. Sundt
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Internal Carotid ◽  
False Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Prolene Suture ◽  
Fine Print

✓ A case of giant traumatic false aneurysm of the intracranial internal carotid artery (ICA) with a concomitant carotid-cavernous fistula is reported. The fistula and the aneurysm persisted after ipsilateral cervical ICA ligation was performed elsewhere. Successful obliteration of the aneurysm and the fistula, with preservation of cross filling of the ipsilateral middle cerebral artery system, was accomplished by ligation of the intracranial ICA proximal to the origin of the posterior communicating artery with a 7–0 prolene suture, followed by transaneurysmal packing of the fistula.

Role of magnetic resonance imaging in evaluating sphenoid sinus and internal carotid artery

2009 ◽  
Vol 123 (12) ◽  
pp. 1331-1337 ◽  
Author(s):  
H G Hatipoglu ◽  
M A Cetin ◽  
A Selvi ◽  
E Yuksel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Sphenoid Sinus ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Minimal Distance ◽  
Resonance Imaging ◽  
Internal Carotid Arteries

AbstractObjective:This study aimed to determine whether magnetic resonance imaging has a role in the evaluation of the sphenoid sinus and internal carotid artery. In addition, we aimed to establish reference measurements for the minimal distance between the internal carotid arteries.Method:The sphenoid sinuses and neighbouring internal carotid arteries of 90 patients were evaluated using sagittal T1-weighted and axial and coronal T2-weighted magnetic resonance images.Results:Sphenoid sinus pneumatisation was categorised as occipitosphenoidal (0 per cent), conchal (3.3 per cent), presellar (14.4 per cent) or sellar (82.2 per cent). The internal carotid artery protruded into the sphenoid sinus in 32.8 per cent, with a septum in 9.4 per cent. The incidence of sellar-type sphenoid sinus pneumatisation was higher in patients with protrusion of the internal carotid artery into the sphenoid sinus (p < 0.001). The incidence of presellar pneumatisation was higher in patients without internal carotid artery protrusion (p < 0.001). The minimal distance between the internal carotid arteries varied between 9.04 and 24.26 mm (mean, 15.94 mm).Conclusion:Magnetic resonance imaging can provide useful information about the sphenoid sinus and internal carotid artery, prior to endoscopic sphenoidotomy and trans-sphenoidal hypophysectomy.

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 Traumatic Carotid Cavernous Fistula: Failure of Endovascular Treatment with Two Stent-Grafts

2005 ◽  
Vol 11 (4) ◽  
pp. 369-375 ◽  
Author(s):  
G. La Tessa ◽  
L. Pasqualetto ◽  
G. Catalano ◽  
M. Marino ◽  
C. Gargano ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
High Flow ◽  
Stent Grafts ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Cavernous Fistula ◽  
Endovascular Approach ◽  
Stenting Procedure

We describe an unconventional endovascular approach in a young patient with large high-flow traumatic carotid cavernous fistula that could not be treated by detachable balloon procedure. Two coronary stent-grafts were used to close the large tear of internal carotid artery. After the failure of stenting procedure, the fistula was successfully treated by trapping with two detachable balloons.

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