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Traumatic Carotid-cavernous Fistula: Endovascular Treatment with Onyx and Coils

Overview
Journal Interv Neuroradiol
Publisher Sage Publications
Specialty Neurology
Date 2010 Jun 30
PMID 20584449
Citations 4
Authors
C E Baccin
C M S Campos
R Abicalaf
L H T Kanashiro
M R Bolcato
S S Lima
R L Piske
Affiliations
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Abstract

Carotid cavernous fistulas (CCF) are mostly post-traumatic and are due to a tear of the internal carotid artery (ICA) inside the cavernous sinus. The improvement of endovascular techniques with venous approach enables the preservation of internal carotid artery patency in most cases when detachable balloons fail in order to reconstruct and repair the tear in the ICA. The case described here has a giant aneurysmatic dilatation of the cavernous sinus and inferior petrosal sinus. We associate coils and Onyx to occlude the lesion preserving and repairing the large hole of the fistula.

Citing Articles

Grouting technique-combining transvenous Onyx and coils for the embolization of complex non-cavernous intracranial dural arteriovenous fistulas.

Chen C, Chen C, Wu Y, Yeap M, Chen Y, Wong H Front Neurol. 2024; 15:1416945.

PMID: 39108661 PMC: 11301644. DOI: 10.3389/fneur.2024.1416945.

Comparison of polyvinyl alcohol copolymer with detachable balloons for the embolisation of direct carotid cavernous fistula: a single-centre experience.

He X, Duan C, Lai L, Zhang X, Li Z, Li X Eur Radiol. 2017; 27(11):4730-4736.

PMID: 28484825 DOI: 10.1007/s00330-017-4864-2.

Endovascular treatment in an unusual case of direct carotid cavernous fistula.

Chavan R, Kamble R, Bonde V Neuroradiol J. 2014; 27(2):207-12.

PMID: 24750711 PMC: 4202868. DOI: 10.15274/NRJ-2014-10032.

Transarterial treatment of direct carotico-cavernous fistulas with coils and Onyx.

Hanumanthapura Ramalingaiah A, Prasad C, Sabharwal P, Saini J, Pandey P Neuroradiology. 2013; 55(10):1213-20.

PMID: 23828324 DOI: 10.1007/s00234-013-1224-z.

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