scholarly journals The Diagnostic Challenges in Carotid Cavernous Fistula: A Case Series

Cureus ◽  
2021 ◽  
Author(s):  
Krishnadevi Thiyagarajam ◽  
Mei Fong Chong ◽  
Safinaz Mohd Khialdin
Keyword(s):  
Case Series ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Endovascular Occlusion of Traumatic Carotid Cavernous Fistula by Using Detachable Balloon in Various Ways: A Case Series

2017 ◽  
Vol 14 (02/03) ◽  
pp. 070-074
Author(s):  
Trilochan Srivastava ◽  
Shakir Husain ◽  
Ashok Gandhi ◽  
Virendra Sinha
Keyword(s):  
Ct Angiography ◽  
Local Anesthesia ◽  
Case Series ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Cavernous Fistula ◽  
Computed Tomographic ◽  
Endovascular Occlusion ◽  
Balloon Embolization

Abstract Introduction The detachable balloons are not frequently used nowadays for endovascular occlusion of carotid-cavernous fistula (CCF) because of lack of availability and supposed high risk of recurrence. This study describes the various way of detachable balloon embolization for traumatic CCF. Materials and Methods We have used endovascular detachable balloon to occlude the traumatic CCF under local anesthesia in various ways in 12 traumatic cases of CCF from March 2013 to April 2015. Clinical and computed tomographic (CT) angiography follow-up was done at 6 and 12 months. Results Clinical follow-up from 6 to 12 month showed persistent resolution of symptoms in 10 cases; 2 cases had developed slight proptosis and chemosis. CT angiography done in nine cases after 6 to 9 months showed no residual filling in CCF. Conclusion The detachable balloon either single or double with or without coils can be used in the management of CCF by different methods. Detachable balloon is a cheaper alternative compared with coiling. It is technically easier to perform and can be performed under local anesthesia.

Surgical Sparing and Pairing Endovascular Interventions for Carotid-Cavernous Fistula: Case Series and Review of the Literature

2020 ◽  
Vol 140 ◽  
pp. 18-25
Author(s):  
Connor T.A. Brenna ◽  
Stefano M. Priola ◽  
Christopher R. Pasarikovski ◽  
Jerry C. Ku ◽  
Patrick Daigle ◽  
...  
Keyword(s):  
Case Series ◽  
Review Of The Literature ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Endovascular Interventions

Diagnosis of carotid-cavernous fistula in ophthalmic practice (clinical case)

2019 ◽  
pp. 116-118
Author(s):  
I.N. Pakhirko ◽  
◽  
M.N. Ponomareva ◽  
E.Y. Ponomareva ◽  
I.A. Aymurzina ◽  
...  
Keyword(s):  
Clinical Case ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Endoscopic Endonasal Orbital Apex Decompression for Carotid Cavernous Fistula

2021 ◽  
pp. 014556132110303
Author(s):  
Noah Shaikh ◽  
Anthony Leonard ◽  
Caitlyn Patton ◽  
SoHyun Boo ◽  
John Nguyen ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Standard Of Care ◽  
Endoscopic Endonasal Approach ◽  
Orbital Apex ◽  
Abducens Palsy ◽  
Carotid Cavernous Fistula ◽  
Endoscopic Endonasal ◽  
Cavernous Fistula ◽  
Novel Approach ◽  
Gaze Palsy

Significance Statement This case report demonstrates a novel approach to treating a rare indirect carotid cavernous fistula (CCF) and associated abducens palsy. Although endovascular treatment is the standard of care in the management of CCFs, it was contraindicated in this patient. Instead, she underwent an endoscopic endonasal approach (EEA) with decompression of the medial orbital apex, including the cavernous sinus and optic nerve, with complete resolution of headache, lateral gaze palsy, and diplopia within 2 months.

Electrothrombosis of carotid-cavernous fistula

1975 ◽  
Vol 42 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Yoshio Hosobuchi
Keyword(s):  
Posterior Segment ◽  
Cerebral Vein ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Arterial Circulation ◽  
Inferior Portion ◽  
Pterygoid Plexus ◽  
Fine Print

✓ The author describes a technique for directly closing a carotid cavernous fistula with electrothrombosis while preserving the intracranial arterial circulation. Copper wires are introduced through the superior ophthalmic vein or a frontotemporal craniotomy, and thus directly into the portion of the sinus into which the fistula drains; if posterior, into the posterior segment of Parkinson's triangle, if inferior, into the pterygoid plexus, and if anterior, through the sphenoparietal sinus and/or middle cerebral vein to the anterior-inferior portion of the sinus. A direct current is applied until a thrombus is confirmed angiographically and the wires are left in place. Four patients treated by this method are presented.

Primary treatment of an indirect carotid cavernous fistula by injection of N-butyl cyanoacrylate in the dural wall of the cavernous sinus

2007 ◽  
Vol 67 (4) ◽  
pp. 403-408 ◽  
Author(s):  
Ali Shaibani ◽  
Mehdi Rohany ◽  
Richard Parkinson ◽  
John K. Hopkins ◽  
H. Hunt Batjer ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Primary Treatment ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Dural Wall

Carotid-Cavernous Fistula Treated with Detachable Balloon during Bilateral Transcranial Doppler Monitoring of Middle Cerebral Arteries

1992 ◽  
Vol 33 (2) ◽  
pp. 145-148 ◽  
Author(s):  
P. H. Nakstad ◽  
J. K. Hald ◽  
W. Sorteberg
Keyword(s):  
Carotid Artery ◽  
Transcranial Doppler ◽  
Cerebral Arteries ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Cavernous Fistula ◽  
Doppler Technique ◽  
Middle Cerebral Arteries

A traumatic carotid-cavernous fistula was closed with a silicone detachable balloon. Prior to the closure of the fistula, clinical and transcranial Doppler testing was performed in order to evaluate the consequences of a possible occlusion of the carotid artery. A newly developed Doppler technique with bilateral simultaneous velocity recordings of the middle cerebral arteries was useful during the procedure. The detachable balloon was effective in closing the fistula, but collapse of the balloon and the development of an extradural aneurysm was found at control examinations.

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