Carotid-Cavernous Fistula

Hamby, Wallace B.

doi:10.3171/jns.1964.21.10.0859

Cited by 107 publications

(17 citation statements)

References 5 publications

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“…However, its management presents a number of technical challenges. Prior to the advent of endovascular therapy, treatment was performed by carotid ligation or muscle embolization through surgical exposure of the ICA [11]. Other attempted surgical options include the direct packing of the cavernous sinus and surgical disconnection of the cortical reflux [12].…”

Section: Discussionmentioning

confidence: 99%

High-Flow Carotid Cavernous Fistula and the Use of a Microvascular Plug System: Initial Experience

et al. 2014

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Purpose: We report our initial experience using a detachable microvascular plug system to occlude the internal carotid artery during endovascular treatment of high-flow carotid cavernous fistula. Case and Technique: An 87-year-old patient was admitted for acute-onset double vision with associated right-eye ptosis. Exam revealed a pupil-sparing, partial right third cranial nerve palsy. MRI showed a carotid cavernous fistula with high-flow drainage. Digital subtraction angiography showed a high-flow, right-sided, direct carotid cavernous fistula with flow from the proximal right internal carotid artery. The ophthalmic artery, posterior communicating artery and anterior communicating arteries supplied retrograde flow to the fistula through the internal carotid artery. Obliteration of the fistula was achieved through coil embolization in combination with proximal and distal microvascular plugs (Reverse Medical, Irvine, Calif., USA). Conclusion: The microvascular plug is a new addition to current endovascular embolization devices for the treatment of high-flow, direct carotid cavernous fistulas. This technique offers easy navigability through tortuous arteries, precise localization and immediate occlusion, which may allow shorter procedure and fluoroscopy times and increased cost-effectiveness. Larger case series are needed to support our observation.

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Section: Discussionmentioning

confidence: 99%

High-Flow Carotid Cavernous Fistula and the Use of a Microvascular Plug System: Initial Experience

et al. 2014

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“…Friedmann [15] reported that traumatic CCSF occurred in less than 1% of skull injuries. Fractures of the base of the skull represent the main cause [3,9,[16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment of a traumatic direct low-flow carotid-cavernous sinus fistula: A case report

et al. 1997

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“…Simple clipping of the carotid artery inside the skull, as advised by Dandy (1935), was estimated to be an insufficient measure because of the good filling of the fistula through the ophthalmic artery. A determined effort was made to occlude this vessel by removing the anterior clinoid process, as advocated by Pool (cited by Hamby, 1966). This step was facilitated by the use of the microscope and by the blindness of the left eye which permitted section of the optic nerve.…”

Section: Commentsmentioning

confidence: 99%