scholarly journals Diagnostic Value of CT Angiography (CTA) in Carotid Cavernous Fistula (CCF) Patients Using the Digital Subtraction Angiography (DSA) as The Gold Standard: Observation in Dr. Soetomo General Hospital Surabaya from January 2016 to July 2020

2021 ◽  
Vol 5 (3) ◽  
pp. 533-563
Author(s):  
Laila Amalia ◽  
Hartono Yudi Sarastika ◽  
Bambang Soeprijanto
Keyword(s):  
Digital Subtraction Angiography ◽  
General Hospital ◽  
Ct Angiography ◽  
Strong Correlation ◽  
Gold Standard ◽  
Internal Carotid ◽  
Diagnostic Value ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Introduction: CT angiography (CTA) is the initial modality for diagnosing theCarotid Cavernous Fistula (CCF), identifying the type of CCF, measuring thediameter of the fistula and the diameter of the internal carotid artery (ICA) pre andpost fistula, and then confirmed by Digital Subtraction Angiography (DSA) as thegold standard. CTA is expected to provide more information to improve theaccuracy of CCF diagnosis to benefit therapy and prevent complications. Thisstudy aimed to determine the diagnostic value of CTA in CCF patients in Dr.Soetomo General Hospital Surabaya, using the DSA as a gold standard. Methods:An observational retrospective study of CCF patients met the inclusion andexclusion criteria and underwent CTA and DSA examinations at the RadiologyInstallation of Dr. Soetomo General Hospital, Surabaya, from January 2016 toJuly 2020. Results: In the comparison of types of CCF CTA to DSA, the directgroup was 53.8% and 57.7%, respectively, while the indirect group was 46.1% and42.3% with a very strong correlation (κ = 0.922; p = 0.000), sensitivity was 93.3%,specificity was 100 %, PPV of 100%, NPV of 91.7% and accuracy of 96.15%. Directtype evaluation on the DSA showed a large picture of the fistula diameter; the ICApre fistula's size was enlarged; therefore, the ICA post fistula diameter wasreduced or absent. There was a strong correlation of fistula diametermeasurement results between CTA and DSA (r = 0.695, p = 0.006).Conclusion: CTA has a similarity rate of 92.2% with DSA in identifying the typeof CCF. The accuracy value of CTA is close to DSA in fistula diametermeasurements.

scholarly journals Diagnostic Value of CT Angiography (CTA) in Carotid Cavernous Fistula (CCF) Patients Using the Digital Subtraction Angiography (DSA) as The Gold Standard: Observation in Dr. Soetomo General Hospital Surabaya from January 2016 to July 2020

2021 ◽  
Vol 5 (6) ◽  
pp. 520-530
Author(s):  
Laila Amalia ◽  
Hartono Yudi Sarastika ◽  
Bambang Soeprijanto
Keyword(s):  
Digital Subtraction Angiography ◽  
General Hospital ◽  
Ct Angiography ◽  
Strong Correlation ◽  
Gold Standard ◽  
Diagnostic Value ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Measurement Results

Background: CT angiography (CTA) is the initial modality for diagnosing the Carotid Cavernous Fistula (CCF), identifying the type of CCF, measuring the diameter of the fistula and the diameter of the internal carotid artery (ICA) pre and post fistula, and then confirmed by Digital Subtraction Angiography (DSA) as the gold standard. CTA is expected to provide more information to improve the accuracy of CCF diagnosis to benefit therapy and prevent complications. This study aimed to determine the diagnostic value of CTA in CCF patients in Dr. Soetomo General Hospital Surabaya, using the DSA as a gold standard. Methods: An observational retrospective study of CCF patients met the inclusion and exclusion criteria and underwent CTA and DSA examinations at the Radiology Installation of Dr. Soetomo General Hospital, Surabaya, from January 2016 to July 2020. Results: In the comparison of types of CCF CTA to DSA, the direct group was 53.8% and 57.7%, respectively, while the indirect group was 46.1% and 42.3% with a very strong correlation (κ = 0.922; p = 0.000), sensitivity was 93.3%, specificity was 100 %, PPV of 100%, NPV of 91.7% and accuracy of 96.15%. Direct type evaluation on the DSA showed a large picture of the fistula diameter; the ICA pre fistula's size was enlarged; therefore, the ICA post fistula diameter was reduced or absent. There was a strong correlation of fistula diameter measurement results between CTA and DSA (r = 0.695, p = 0.006). Conclusion: CTA has a similarity rate of 92.2% with DSA in identifying the type of CCF. The accuracy value of CTA is close to DSA in fistula diameter measurements.

scholarly journals A Poorly Treated Carotid-Cavernous Fistula Rescued by Coils through a PComA Approach

2009 ◽  
Vol 15 (2) ◽  
pp. 197-201
Author(s):  
J. Yu ◽  
Z. Shi ◽  
M. Lv ◽  
X. Yang ◽  
Z. Wu
Keyword(s):  
Digital Subtraction Angiography ◽  
Temporal Bone ◽  
Cavernous Sinus ◽  
Ophthalmic Artery ◽  
Parent Artery ◽  
Maxillary Artery ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Puncture Wound ◽  
Cavernous Fistula

This study describes a case of traumatic carotid-cavernous fistula poorly treated with balloons and rescued by coils through a PComA approach. A six-year-old boy suffered a left temporal bone puncture wound. Digital subtraction angiography disclosed a left carotid cavernous fistula. Five balloons were implanted into the cavernous sinus and the parent artery was sacrificed unwillingly, but the residual fistula retro-engorged by the ophthalmic artery communicated with the maxillary artery and the post circle through the PComA. We finally occluded the residual fistula through the PComA with coils. Once the parent artery was sacrificed and the distal residual fistula still retro-engorged, another patent communicating artery may be a rescue approach.

Localization of carotid cavernous fistula using digital subtraction angiography

1985 ◽  
Vol 8 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Kimberly N. Wiele ◽  
Supranee Tantana ◽  
Thomas Pilla ◽  
Carol R. Archer
Keyword(s):  
Digital Subtraction Angiography ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Three-Dimensional Digital Subtraction Angiography for Endovascular Treatment of Direct Carotid-Cavernous Fistula

2010 ◽  
Vol 50 (5) ◽  
pp. 404-406 ◽  
Author(s):  
Shinya KOHYAMA ◽  
Shoichiro ISHIHARA ◽  
Fumitaka YAMANE ◽  
Ryuzaburo KANAZAWA ◽  
Hideaki ISHIHARA ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Digital Subtraction Angiography ◽  
Three Dimensional ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Direct Carotid Cavernous Fistula

scholarly journals Transvenous Embolization of Primitive Trigeminal Artery Variant-Cavernous Fistula with Guglielmi Detachable Coils

2008 ◽  
Vol 14 (2_suppl) ◽  
pp. 95-98 ◽  
Author(s):  
Yi-Ming Wu ◽  
Ho-Fai Wong
Keyword(s):  
Internal Carotid ◽  
Left Internal Carotid Artery ◽  
Inferior Petrosal Sinus ◽  
Digital Subtraction ◽  
Trigeminal Artery ◽  
Guglielmi Detachable Coils ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Detachable Coils ◽  
Primitive Trigeminal Artery

Here, we present a 32-year-old male with proptosis and chemosis of the left eye following a close head injury. Digital subtraction angiography of the left internal carotid artery showed a left carotid-cavernous fistula (CCF) associated with a primitive trigeminal artery (PTA) variant. The patient was successfully treated with transvenous Guglielmi detachable coils embolization via the inferior petrosal sinus. The PTA variant was preserved without cerebellar or brainstem infarct.

scholarly journals Ocular Manifestations Of Carotid Cavernous Fistula and Clinical Outcome After Management

2021 ◽  
Vol 06 (03) ◽  
pp. 40-45
Author(s):  
Dr. Sirisha Gantela ◽  
◽  
Dr. N. Lakshmi Chowdary ◽  
Dr. M. Satyanarayana ◽  
◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Ct Scan ◽  
Digital Subtraction Angiography ◽  
Low Flow ◽  
Confirmatory Test ◽  
Parent Artery ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Ocular Manifestations

Aim: The purpose of the study is to report the ocular manifestations of Carotid cavernous fistula. Toconfirm the diagnosis by radiological investigations and to evaluate the clinical outcome aftermanagement. Materials and Methods: Patients who presented to the ophthalmology departmentwith signs and symptoms of carotid-cavernous fistula were evaluated by clinical examinationfollowed by radiological investigations like ultrasound, Doppler, CT scan and MRI. They laterunderwent DSA ( Digital Subtraction Angiography) for confirmation followed by definitive treatment.Results: Out of four patients who had direct CCF, three cases were managed by endovascularembolization of the parent artery. The remaining one case was conservatively managed by carotidmassage as it was a low flow fistula and the patient also had Parkinson’s disease. Four cases thathad indirect CCF were managed by carotid massage. Complete closure of the fistula is seen in allcases. Patients were followed up for 1 month, 3 months and 6 months and clinical outcome wasevaluated. Conclusion: CCF should be suspected in the presence of arteriolised conjunctivalvessels, proptosis and audible bruit. Diagnosis is by radiological tests like ultrasonography, Doppler,CT scan and MRI. The confirmatory test is digital subtraction angiography (DSA). Direct CCF iseffectively treated with endovascular therapy by coiling the fistula and indirect CCF is managed bymanual compression. Early diagnosis and treatment can prevent sight-threatening complications.

scholarly journals Carotid Cavernous Fistula: Role of Open Surgery in The Era of Endovascular Treatment

2017 ◽  
Vol 14 (1) ◽  
pp. 36-39
Author(s):  
Rajau K Sharma ◽  
Gopal R Sharma ◽  
Prakash Bista ◽  
Rajiv Jha
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ct Angiography ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
History Of ◽  
Displaced Fracture ◽  
Carotid Cavernous Fistulas

A 18-year-old right handed girl presented with progressive proptosis, chemosis, diplopia and an orbital bruit of right eye, 3 days after alleged history of fall from a tree, The intraocular pressure was increased. The suspected diagnosis of a direct carotid cavernous fistula (CCF) was confirmed by CT angiography CT Angiography showed direct fistulous communication of cavernous segment of right internal carotid artery with right cavernous sinus (type A right CCF) and linear minimally displaced fracture of right zygomatic arch and linear undisplaced fracture of wall of right orbit. The patient underwent right pterional craniotomy and transcavernous occlusion of fistula of right internal carotid artery (ICA). Surgery was performed with gradual resolution of the symptoms and normalization of the intraocular pressure.The pathogencsis, symptomatology, treatment of carotid cavernous fistulas are discussed.Nepal Journal of Neuroscience, Volume 14, Number 1, 2017, Page: 36-39

scholarly journals Traumatic Carotid-Cavernous Fistula Identified by Three-dimensional Digital Subtraction Angiography-Technical Note-

2003 ◽  
Vol 43 (7) ◽  
pp. 369-373 ◽  
Author(s):  
Fujimaro ISHIDA ◽  
Tadashi KOJIMA ◽  
Kenji KAWAGUCHI ◽  
Tamotsu HOSHINO ◽  
Kenichi MURAO ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Three Dimensional ◽  
Technical Note ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula
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