scholarly journals Unilateral Direct Carotid Cavernous Fistula Causing Bilateral Ocular Manifestation

2015 ◽  
Vol 6 (3) ◽  
pp. 482-487 ◽  
Author(s):  
Zeferino Demartini Jr. ◽  
Fernando Liebert ◽  
Luana Antunes Maranha Gatto ◽  
Thiago Simiano Jung ◽  
Carlos Rocha Jr. ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Internal Carotid ◽  
Interventional Neuroradiology ◽  
Artery Wall ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Bilateral Presentation ◽  
Carotid Cavernous Sinus Fistula ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Unilateral carotid cavernous fistula presents with ipsilateral ocular findings. Bilateral presentation is only seen in bilateral fistulas, usually associated with indirect (dural) carotid cavernous fistulas. Direct carotid cavernous fistulas are an abnormal communication between the internal carotid artery and the cavernous sinus. They typically begin with a traumatic disruption in the artery wall into the cavernous sinus, presenting with a classic triad of unilateral pulsatile exophthalmos, cranial bruit and episcleral venous engorgement. We report the case of a 38-year-old male with traumatic right carotid cavernous sinus fistula and bilateral ocular presentation successfully treated by interventional neuroradiology.

scholarly journals Posttraumatic Intradural Internal Carotid Artery-Cavernous Sinus Fistula Associated with Ipsilateral Carotid Dissection

2004 ◽  
Vol 10 (1) ◽  
pp. 63-68 ◽  
Author(s):  
I. Oran ◽  
M. Parildar ◽  
A. Memis ◽  
T. Dalbasti
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Unusual Case ◽  
Internal Carotid ◽  
Carotid Dissection ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Detachable Coils ◽  
Carotid Cavernous Sinus Fistula ◽  
Direct Carotid Cavernous Fistula

We describe a relatively unusual case of traumatic direct carotid-cavernous fistula in association with a giant intradural venous pouch and ipsilateral carotid dissection, related to carotid artery fistula located in the supraclinoid segment just below the origin of posterior communicating artery. Endovascular therapy could be accomplished by use of detachable coils transarterially. Awareness of an unusual intradural origin of a carotid-cavernous sinus fistula and the possibility of an embolization should be kept in mind.

scholarly journals FISTULE CAROTIDO-CAVERNEUSE GEANTE POST-TRAUMATIQUEGIANT TRAUMATIC CAROTID-CAVERNOUS SINUS FISTULA

2020 ◽  
Vol 8 (10) ◽  
pp. 922-925
Author(s):  
M. El. Ikhloufi ◽  
◽  
N. Boutimzine ◽  
E. Cheikh ◽  
M. El Hassani ◽  
...  
Keyword(s):  
Young Patient ◽  
Cavernous Sinus ◽  
Road Accident ◽  
Impact Point ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Carotid Cavernous Sinus Fistula ◽  
Carotid Cavernous Fistulas

Carotid-cavernous fistulas are abnormal arteriovenous communications between the carotid system and the cavernous sinus [1]. They are rare but potentially serious, which can engage the functional and vital prognosis. We report the case of a young patient who presented a giant carotid-cavernous fistula following a road accident with a cranial impact point.

scholarly journals Covered Stent Implantation for the Treatment of Direct Carotid-Cavernous Fistula and its Mid-Term Follow-up

2009 ◽  
Vol 15 (2) ◽  
pp. 185-190 ◽  
Author(s):  
F. Briganti ◽  
F. Tortora ◽  
M. Marseglia ◽  
M. Napoli ◽  
L. Cirillo
Keyword(s):  
Internal Carotid ◽  
Covered Stent ◽  
Complete Analysis ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Ocular Manifestations ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Carotid-cavernous fistulas are abnormal arteriovenous communications either directly between the internal carotid artery and the cavernous sinus or between the dural branches of the internal and external carotid arteries. These fistulas predominantly present with ocular manifestations and they are treated mainly by endovascular techniques in most cases. A detailed review of the literature allowed us to make a complete analysis of the information available on the topic. We describe a case of a direct carotid-cavernous fistula occluded by endovascular implantation of a covered stent, showing the persistence of results after three years.

scholarly journals Endovascular Treatment of a Large Venous Pouch Direct Carotid Cavernous Fistula

2013 ◽  
Vol 26 (1) ◽  
pp. 89-93
Author(s):  
M. Mahmoud ◽  
M.H. Elsissy
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Vertebrobasilar System ◽  
Distal Aspect ◽  
Direct Carotid Cavernous Fistula

Endovascular treatment of direct carotid cavernous fistula (CCF) can be performed by either arterial or venous approaches. The aim is to disconnect the fistula with or without preservation of the internal carotid artery (ICA). The aim of this article is to describe a technique for embolization of the cavernous sinus and the ICA in direct CCF using coils. Trapping the distal aspect of the fistula using a retrograde navigation via the vertebrobasilar system and the posterior communicating artery was performed in two cases. Clinical and radiological evolutions are described.

scholarly journals Transarterial Embolization of an Indirect Carotid- Cavernous Fistula with N-Butyl Cyanoacrylate

2018 ◽  
Vol 25 (2) ◽  
pp. 150-156
Author(s):  
Matías Negrotto ◽  
Roberto Crosa ◽  
Alejandra Jaume ◽  
Fiorella Casanova
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Transarterial Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Carotid Cavernous Fistulas

Carotid-cavernous fistulas are vascular shunts that allow blood to flow from the carotid artery into the cavernous sinus. Some fistulas are characterized by a direct connection between the cavernous segment of the internal carotid artery and the cavernous sinus. Other carotid-cavernous fistulas are dural, consisting of a communication between the cavernous sinus and one or more meningeal branches of the internal carotid artery, the external carotid artery, or both. Endovascular management is the treatment modality of choice in these cases. We report the use of N-butyl cyanoacrylate in a successful transarterial embolization of a dural carotid-cavernous fistula fed by arterial branches of the internal -and mainly- external carotid arteries (Barrow type D).

scholarly journals Direct Carotid-Cavernous Fistula with early drainage into inferior petrous sinus

2021 ◽  
Vol 29 ◽  
pp. 1-9
Author(s):  
Olavo Leite de Macêdo Neto ◽  
Amanda Menezes Morgado ◽  
Rafael Dos Santos Araujo ◽  
José Silva Souza ◽  
Ana Carla Da Silva Mendes ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
The Third ◽  
The Right ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Carotid-cavernous fistulas (CCF) are classified in direct (Barrow A) and indirect. The direct comunication between the cavernous segment of the internal carotid artery and the cavernous sinus defines direct CCF. In the present case, is described a 51-year-old female patient, diagnosed with subarachnoid hemorrhage through head tomography. The patient underwent an agiographic study, wen was identified a large dissecant aneurysm in the right internal carotid artery and a direct CCF with early drainage into the ophthalmic vein and inferior petrous sinus, manifesting paralysis of the third cranial nerve.

scholarly journals Spontaneous direct carotid-cavernous sinus fistula secondary to a persistent primitive trigeminal artery treated by trans-venous coil embolisation

2018 ◽  
Vol 24 (5) ◽  
pp. 567-570 ◽  
Author(s):  
Andrew Imrie ◽  
Kendal Redmond ◽  
David Leggett
Keyword(s):  
Cavernous Sinus ◽  
Trigeminal Artery ◽  
Coil Embolisation ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Persistent Primitive Trigeminal Artery ◽  
History Of ◽  
Carotid Cavernous Sinus Fistula ◽  
Primitive Trigeminal Artery ◽  
Direct Carotid Cavernous Fistula

A healthy 51-year-old female presented with a spontaneous direct carotid-cavernous sinus fistula associated with a persistent primitive trigeminal artery. She had no history of connective tissue or cerebrovascular disorders or significant head trauma. This is a rare lesion with only 18 previously reported cases. It had similar clinical presentation and imaging appearance to a high-flow direct carotid-cavernous fistula and was uncovered after successful trans-venous coil embolisation of the fistula. It therefore needs to be considered in cases of direct carotid-cavernous fistula without history of trauma. Knowledge of types of persistent primitive trigeminal artery is also important for their critical treatment implications.

External carotid-cavernous sinus fistula diagnosed by common carotid arteriography

1974 ◽  
Vol 41 (4) ◽  
pp. 494-498 ◽  
Author(s):  
Louis Wener ◽  
Giovanni Di Chiro ◽  
Robert A. Mendelsohn
Keyword(s):  
Cavernous Sinus ◽  
Carotid Arteries ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Carotid Cavernous Sinus Fistula ◽  
The Difference ◽  
Fine Print

✓ An external carotid-cavernous fistula diagnosed by serial common carotid arteriography is reported. The diagnosis was reached on the basis of the difference in time between filling of the distal internal and external carotid arteries and the visualization of the fistula.

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