Endovascular treatment of carotid cavernous fistulae (CCF). Direct venous puncture using road mapping in dural CCF

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Imaging diagnosis of dural and direct cavernous carotid fistulae*

Arteriovenous fistulae of the cavernous sinus are rare and difficult to diagnose. They are classified into dural cavernous sinus fistulae or direct carotid-cavernous fistulae. Despite the similarity of symptoms between both types, a precise diagnosis is essential since the treatment is specific for each type of fistula. Imaging findings are remarkably similar in both dural cavernous sinus fistu...

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Endovascular trapping of traumatic carotid-cavernous fistulae.

We describe an unconventional endovascular approach to the treatment of traumatic carotid-cavernous fistulas. Four patients with large high-flow shunts have been successfully treated by trapping of the fistula by using a combination of proximal balloon occlusion and distal coil embolization. The latter was achieved following retrograde catheterization of the distal parent vessel via the contral...

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Endovascular Treatment of Cavernous Sinus Dural Arteriovenous Fistulas by Direct Puncture of Facial Vein

Transvenous embolization through the superior ophthalmic vein (SOV) is one of the most effective treatments for cavernous sinus dural arteriovenous fistulas (DAVF). We describe a simple application of intravenous catheterization to approach the SOV with direct percutaneous puncture of the facial vein without a surgical procedure. Contralateral digital subtracted roadmap and arteriogram in anter...

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Advances in the endovascular treatment of direct carotid-cavernous fistulas.

Carotid cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus. They are considered direct when there is a direct connection between the internal carotid artery and the cavernous sinus. These cases are generally traumatic. Direct CCFs are high-flow lesions, possibly related to intracranial bleeding, visual loss, corneal exposure or even fatal epist...

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Carotico-cavernous Sinus Fistula: Duplex Doppler Findings

INTRODUCTION Carotico cavernous sinus fistula (CCF) is an abnormal communication between the carotid artery and the cavernous sinus and is classified angiographically as dural or direct. Spontaneous CCF is a dural arterio-venous fistula at the cavernous sinus which is different from traumatic CCF or CCF associated with a ruptured aneurysm at the cavernous internal carotid artery. Cerebral angio...

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ژورنال

عنوان ژورنال: The Egyptian Journal of Radiology and Nuclear Medicine

سال: 2013

ISSN: 0378-603X

DOI: 10.1016/j.ejrnm.2012.12.004