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

Ćulafić, Slobodan; Juszkat, Robert; Rusović, Siniša; Stefanović, D; Minić, L; Spaic, Milan

doi:10.2298/vsp0812923c

Cited by 2 publications

(6 citation statements)

References 4 publications

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“…Type B are the dural shunts of the meningeal branches of the internal carotid artery with the cavernous sinus. Type C is a dural shunt of the meningeal branches of the external carotid artery with a cavernous sinus, and type D is a combination of types B and C. Types B, C, and D are characterized by low flow [1,3,5,6,10]. Our patient, had CCF type A2 caused by an aneurysm rupture that most likely occurred with a cough.…”

Section: Amentioning

confidence: 76%

“…Carotid-cavernous fistula (CCF) is a pathological communication of the carotid arteries or their branches with the cavernous sinus [1][2][3][4][5]. In relation to cause, they are divided into traumatic, spontaneous, and iatrogenic.…”

Section: Introductionmentioning

confidence: 99%

“…In relation to cause, they are divided into traumatic, spontaneous, and iatrogenic. They are mostly traumatic (in 70% of cases) [1]. Spontaneous events are much rarer and may be caused by ruptured aneurysm, atherosclerosis, or blood vessel inflammation [6].…”

Section: Introductionmentioning

confidence: 99%

“…Venous drainage of CCF can be anterior via the ophthalmic veins or posterior via sinus petrosus. Drainage is usually mixed [1]. The type of drainage conditions the clinical picture [3,5,6].…”

Section: Introductionmentioning

confidence: 99%

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Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report

Simić

Radmilo²,

Villar

et al. 2020

Medicina

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Background and objectives: Spontaneous carotid-cavernous fistulas (CCFs) are rare, and they may be caused by an aneurysm rupture. Materials and Methods: A case of a man hospitalized for high-intensity hemicranial headache with sudden cough onset as part of an upper respiratory tract infection is presented. The pain was of a pulsating character, localized on the right, behind the eye, followed by nausea and vomiting. Neurological finding registered a wider rima oculi to the right and slight neck rigidity. Laboratory findings detected a mild leukocytosis with neutrophil predominance, while cytobiochemical findings of CSF and a computerized tomography (CT) scan of the endocranium were normal. Results: Magnetic resonance imaging (MRI) angiography indicated the presence of a carotid cavernous fistula with a pseudoaneurysm to the right. Digital subtraction angiography (DSA) was performed to confirm the existence of the fistula. The planned artificial embolization was not performed because a complete occlusion of the fistula occurred during angiographic examination. Patient was discharged without subjective complaints and with normal neurological findings. Conclusions: Hemicranial cough-induced headache may be the first sign of carotid cavernous fistula, which was resolved by a spontaneous thrombosis in preparation for artificial embolization.

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Section: Amentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report

Simić

Radmilo²,

Villar

et al. 2020

Medicina

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“…Endovascular treatment is currently the treatment of choice for dural carotid-cavernous fistula (DCCF). Both transvenous [1][2][3] & transarterial 4,5 approaches have been reported.…”

Section: Introductionmentioning

confidence: 99%

Triple Coaxial Catheter Technique for Transfacial Superior Ophthalmic Vein Approach for Embolization of Dural Carotid-Cavernous Fistula

et al. 2010

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We report a triple coaxial catheter technique to facilitate the venous access to the superior ophthalmic vein during transvenous embolization of dural carotid-cavernous fistula (DCCF) via the transfacial venous route. Two patients with transvenous embolization of DCCFs by coils were treated with transfacial superior ophthalmic vein (SOV) approach by the triple coaxial catheter technique. The triple coaxial catheter system consisted of a 6F guiding catheter as the outer catheter and a 4F guiding catheter as the middle catheter and a microcatheter as the inner catheter to help navigation and manipulation. The DCCFs were completely obliterated in both cases. There were no complications associated with the procedure. The ophthalmic symptoms of the patients had totally resolved at two-month follow-up. The triple coaxial catheter technique can be used with the transfacial SOV approach in embolization of DCCF. This technique has two advantages over the double coaxial catheter technique because it offers additional length and support for the distal navigation of microcatheter into the SOV.

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

Abstract: Embolization of complex carotid-cavernous fistula type A was successfully performed with platinum coils by endovascular approach.

Cited by 2 publications

References 4 publications

Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report

Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report

Triple Coaxial Catheter Technique for Transfacial Superior Ophthalmic Vein Approach for Embolization of Dural Carotid-Cavernous Fistula

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