scholarly journals Endovascular Coil Occlusion of Traumatic Intradural Aneurysm with Presentation as Carotid Cavernous Fistula

2014 ◽  
Vol 4 ◽  
pp. 11 ◽  
Author(s):  
Lakshmi S P Karanam ◽  
Anand B Alurkar ◽  
M Natarajan ◽  
B Pugazhenthi
Keyword(s):  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Cerebral Aneurysms ◽  
Endovascular Embolization ◽  
Traumatic Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Coil Occlusion ◽  
Surgical Methods ◽  
Post Traumatic

Carotid cavernous fistulae (CCF) are abnormal communication between cavernous segment of the internal carotid artery and cavernous sinus. These entities are usually encountered in 0.2-0.8% of patients with traumatic skull base fractures. Traumatic cerebral aneurysms are rare and account for less than 1% of intracranial aneurysms. CCF due to ruptured intradural traumatic aneurysm is very rare and difficult to treat by surgical methods. We present one such case of a 40-year-old man with post-traumatic CCF due to a ruptured intradural aneurysm successfully treated with endovascular embolization.

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.

Serial Angiographic Evolution and Regression of Traumatic Aneurysm of the Internal Carotid Artery Associated With a Carotid-Cavernous Fistula

2008 ◽  
Vol 64 (5) ◽  
pp. E76-E80 ◽  
Author(s):  
Jun-Seok Koh ◽  
Gook-Ki Kim ◽  
Eui-Jong Kim ◽  
Young-Jin Lim ◽  
Bong-Arm Rhee ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Traumatic Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Regression of an internal carotid artery pseudoaneurysm after therapeutic embolization of a post-traumatic carotid-cavernous fistula secondary to gunshot injury

1990 ◽  
Vol 32 (3) ◽  
pp. 226-228 ◽  
Author(s):  
S. Mori ◽  
M. Feliciani ◽  
G. Guglielmi ◽  
G. Guidetti ◽  
M. Dazzi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Therapeutic Embolization ◽  
Gunshot Injury ◽  
Carotid Cavernous Fistula ◽  
Artery Pseudoaneurysm ◽  
Cavernous Fistula ◽  
Post Traumatic

scholarly journals Spontaneous Resolution of Post-Traumatic Direct Carotid-Cavernous Fistula

2017 ◽  
Vol 7 (1-2) ◽  
pp. 1-5 ◽  
Author(s):  
Varun Naragum ◽  
Glenn Barest ◽  
Mohamad AbdalKader ◽  
Katharine M. Cronk ◽  
Thanh N. Nguyen
Keyword(s):  
Carotid Artery ◽  
Endovascular Embolization ◽  
High Flow ◽  
Spontaneous Resolution ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Post Traumatic ◽  
Cavernous Carotid Artery ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Post-traumatic carotid-cavernous fistulas are due to a tear in the wall of the cavernous carotid artery, leading to shunting of blood into the cavernous sinus. These are generally high-flow fistula and rarely resolve spontaneously. Most cases require endovascular embolization. We report a case of Barrow type A carotid-cavernous fistula which resolved spontaneously.

Traumatic aneurysm of the supraclinoid internal carotid artery and an associated carotid—cavernous fistula: vascular reconstruction performed using intravascular implantation of stents and coils

2004 ◽  
Vol 100 (1) ◽  
pp. 115-119 ◽  
Author(s):  
Chang-Young Lee ◽  
Man-Bin Yim ◽  
Il-Man Kim ◽  
Eun-Ik Son ◽  
Dong-Won Kim
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Parent Artery ◽  
Traumatic Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Closed Head ◽  
Supraclinoid Internal Carotid Artery

✓ This report documents the treatment of a traumatic aneurysm of the supraclinoid internal carotid artery (ICA) that was associated with a carotid—cavernous fistula (CCF), which appeared following closed head trauma. This life-threatening lesion, which is very rare, required aggressive management achieved using intravascular stents and coils. A 19-year-old man presented with severe traumatic intracerebral and subarachnoid hematoma after he had suffered a severe closed head injury in a motor vehicle accident. Cerebral angiography performed 11 days after the injury demonstrated a traumatic aneurysm and severe narrowing of the right supraclinoid ICA, which was consistent with a dissection-induced stenosis associated with a direct CCF. Both lesions were successfully obliterated with preservation of the parent artery by using stents in conjunction with coils. Follow-up angiography obtained 7 months postoperatively revealed persistent obliteration of the aneurysm and CCF as well as patency of the parent artery. The patient remained asymptomatic during the clinical follow-up period of 14 months. Endovascular treatment involving the use of a stent combined with coils appears to be a feasible, minimally invasive option for treatment of this hard-to-treat lesion.

scholarly journals Endovascular Treatment of Post-traumatic Carotid-cavernous Fistula Using Flow Diverter Stent

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
Guilherme De Palma Abrão ◽  
André Didier Lyra ◽  
Matheus Miranda Barbosa
Keyword(s):  
Endovascular Treatment ◽  
Internal Carotid ◽  
Flow Diverter ◽  
High Flow ◽  
Carotid Cavernous Fistula ◽  
Pipeline Embolization Device ◽  
Cavernous Fistula ◽  
Flow Diverter Stent ◽  
Post Traumatic ◽  
Anatomical Restoration

We describe a case of post-traumatic high-flow carotid-cavernous fistula that was successfully treated with coils and pipeline embolization device. Following the endovascular treatment, the patient experienced clinical improvement of symptoms with complete anatomical restoration of the internal carotid artery.

Persistent Trigeminal Artery Associated with Intracranial Vertebral Artery Fenestration in a Patient with Carotid-Cavernous Fistula

2005 ◽  
Vol 18 (2) ◽  
pp. 246-250
Author(s):  
S. Purkayastha ◽  
A.K. Gupta ◽  
E.R. Jayadevan
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Malformations ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Vertebral Arteries

The association of persistent trigeminal artery (PTA) with intracranial vertebral artery fenestration is very rare. The commonest associations of PTA are with intracranial aneurysms, arteriovenous malformations, absence of internal carotid artery and vertebral arteries. We describe a case of persistent trigeminal artery associated with intracranial vertebral artery fenestration in a patient with right-sided type 1 carotid-cavernous fistula. To our knowledge, this is the first report of such an association.

Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas

1974 ◽  
Vol 41 (6) ◽  
pp. 657-670 ◽  
Author(s):  
Sean Mullan
Keyword(s):  
Blood Flow ◽  
Intracranial Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Carotid Blood Flow ◽  
Giant Intracranial Aneurysm ◽  
Surgical Methods ◽  
Carotid Cavernous Fistulas ◽  
Fine Print

✓ The results of 61 cases of stereotaxic thrombosis of intracranial berry aneurysms indicate that the technique in selected cases is comparable to, but not necessarily superior to standard surgical methods. The results of wire-induced thrombosis in 15 cases of giant intracranial aneurysm suggest that this method is effective in situations where clipping and encapsulation are inapplicable. The results of thrombosis in six cases of carotid cavernous fistula suggest that intracavernous wire thrombosis may prove to be the treatment of choice in that it seals the fistula without impairing carotid blood flow.

scholarly journals Endovascular treatment of carotid-cavernous fistula type A with platinium coils

2008 ◽  
Vol 65 (12) ◽  
pp. 923-926 ◽  
Author(s):  
Slobodan Culafic ◽  
Robert Juszkat ◽  
Sinisa Rusovic ◽  
Dara Stefanovic ◽  
Ljubodrag Minic ◽  
...  
Keyword(s):  
Type A ◽  
Endovascular Embolization ◽  
High Flow ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Vertebrobasilar Artery ◽  
Eye Symptoms ◽  
The Right ◽  
Carotid Cavernous Fistulas ◽  
Platinum Coils

Background. Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives characteristic eye symptoms. Case report. This paper presents a 44-year old male patient with carotidcavernous fistula as a result of penetrating head injury. In clinical presentation the patient had exophthalmos, conjunctival chemosis and weakening of vision on the right eye, headache and diplopia. Digital subtracted angiography showed high-flow carotid-cavernous fistula, which was vascularised from the left carotid artery and from vertebrobasilar artery. Endovascular embolization with platinum coils was performed through the transarterial route (endoarterial approach). Check angiogram confirmed that the fistula was closed and that no new communications developed. Conclusion. Embolization of complex carotidcavernous fistula type A was successfully performed with platinum coils by endovascular approach.

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