Endovascular treatment of direct carotid cavernous fistulae: a pictorial review

Gupta, Arun Kumar; Purkayastha, S.; Thamburaj, Krishnamoorthy; Bodhey, Narendra Kuber; Kapilamoorthy, Tirur Raman; Kesavadas, Chandrasekharan; Thomas, Bejoy

doi:10.1007/s00234-006-0132-x

Cited by 123 publications

(100 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9,10 Subsequently, ocular disorders such as orbital pain, diplopia (88%) and blurred vision may occur. 3,8,9 According to Ellis et al, these disorders are caused by ischemia of the retina and require urgent treatment. 1 Wang et al share that ophthalmoplegia is observed in 23-63% of cases, while disturbances in other cranial nerves are less common (17-44%), which is confirmed by the clinical presentation observed in our case.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 Currently, the transarterial and transvenous embolization by coils and/or liquid embolic agents is the gold standard in the treatment of CCF. 8,9 Complications after the endovascular treatment of CCF are observed in 2-5% of cases and include brain infection, visual disturbances, diabetes insipidus, venous thrombosis, ophthalmoplegia, transient paralysis of cranial nerves and occlusion of the internal carotid artery due to protrusion of coils. 10 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient

et al. 2017

View full text Add to dashboard Cite

We describe the case of an 83-year-old woman with left-sided ophthalmoplegia. She had no family history of connective tissue disease. The computed tomography study found a dilated left cavernous sinus. The conventional cerebral panangiography confi rmed the diagnosis -a direct carotid-cavernous fi stula (CCF), with no evidence of ruptured aneurysm. The woman underwent endovascular treatment with coiling of the cavernous sinus in combination with application of the Onyx embolic agent in the fi stula. During the fi rst 48 hours after the embolization the local pain, exophthalmos and conjunctival injection of the left eye were signifi cantly ameliorated. The pulsatile tinnitus on the left disappeared and the ptosis of the left eyelid partially recovered. Selective angiography is the best method for the diagnosis and classifi cation of CCF. Currently, treatment is possible with low mortality and morbidity rates. The endovascular intervention is able to completely occlude the fi stula and maintain adequate blood fl ow through the carotid artery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In addition to being userfriendly, balloons are cheap in a highly expensive medical market. 11,12 Balloons do have their pitfalls. The fistula and the cavernous sinus must be of a proper size.…”

Section: Discussionmentioning

confidence: 99%

Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas

Wang¹,

Xie²,

You³

et al. 2009

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

BACKGROUND AND PURPOSE: Endovascular detachable balloon occlusion and coil occlusion are 2 well-established options for the treatment of direct carotid cavernous fistulas (DCCFs). In recent years, covered stents have been applied in the treatment of neurovascular pathologies such as aneurysms, pseudoaneurysms, arterial dissections, and DCCFs. The purpose of this study was to investigate the clinical efficacy of covered stents for the treatment of DCCFs.

show abstract

“…MR imaging findings of CCFs include a dilated CS with multiple signal-intensity void structures that are associated with proptosis and an enlarged superior ophthalmic vein. [79][80][81][82] On gradient-echo images, these flow voids shows high signal intensity. The presence of flowrelated enhancement in the CS on MR angiography suggests the diagnosis in the right clinical setting.…”

Section: Carotid Cavernous Fistulamentioning

confidence: 99%

Imaging Lesions of the Cavernous Sinus

Razek¹,

Castillo²

2008

AJNR Am J Neuroradiol

124

View full text Add to dashboard Cite

SUMMARY:Our aim was to review the imaging findings of relatively common lesions involving the cavernous sinus (CS), such as neoplastic, inflammatory, and vascular ones. The most common are neurogenic tumors and cavernoma. Tumors of the nasopharynx, skull base, and sphenoid sinus may extend to the CS as can perineural and hematogenous metastases. Inflammatory, infective, and granulomatous lesions show linear or nodular enhancement of the meninges of the CS but often have nonspecific MR imaging features. In many of these cases, involvement elsewhere suggests the diagnosis. MR imaging is sensitive for detecting vascular lesions such as carotid cavernous fistulas, aneurysms, and thromboses.

show abstract

Endovascular treatment of direct carotid cavernous fistulae: a pictorial review

Abstract: Endovascular treatment of direct CCFs is safe and effective and results in long-term cure.

Cited by 123 publications

References 32 publications

Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient

Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient

Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas

Imaging Lesions of the Cavernous Sinus

Contact Info

Product

Resources

About