Endovascular Treatment for Traumatic Internal Carotid Cavernous Fistula: Current Difficulties and Solutions

Hou, Kun; Lv, Xianli; Guo, Yunbao; Yu, Jinlu

doi:10.1007/978-981-19-5767-3_5

Cited by 1 publication

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“…10,11 The most common condition is CCF between the carotid artery and CS. 4 Traumatic AcomA-CS fistula is rare, and only two cases have been reported. 6,7 This is because the AcomA is above the sellar turcica and is separate from the CS.…”

Section: Discussionmentioning

confidence: 99%

“…Several arteries adjacent to or across the cavernous sinus (CS) can rupture into the CS to form a direct high-flow arteriovenous fistula due to trauma, and these arteries include the carotid artery, posterior communicating artery, primitive trigeminal artery, or middle meningeal artery. [1][2][3][4][5] An anterior communicating artery (AcomA)-CS fistula following head trauma is rare. To date, it was determined that only two cases have been reported in the literature after searching the PubMed database.…”

Section: Introductionmentioning

confidence: 99%

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Endovascular treatment of traumatic anterior communicating artery-cavernous sinus fistula

2023

Neuroradiol J

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Traumatic anterior communicating artery (AcomA)-cavernous sinus (CS) fistula is rare. Flow diverter (FD) deployment associated with coiling may be an alternative but has never been reported. We reported such a case. A 61-year-old man who was involved in a traffic accident presented with progressive exophthalmos for 2 weeks. Digital subtraction angiography showed a fistula between the AcomA and CS. First, the fistula was coiled. Then, the FD was deployed to cover the rupture point of the AcomA. The fistula was obliterated. Postoperatively, the patient recovered well, and his eye symptoms disappeared. Follow-up angiography showed no recurrence of the fistula. Therefore, for traumatic AcomA-CS fistula, FD deployment associated with coiling may be a feasible alternative.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endovascular Treatment for Traumatic Internal Carotid Cavernous Fistula: Current Difficulties and Solutions

Cited by 1 publication

References 78 publications

Endovascular treatment of traumatic anterior communicating artery-cavernous sinus fistula

Endovascular treatment of traumatic anterior communicating artery-cavernous sinus fistula

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