scholarly journals Traumatic Carotid-Cavernous Fistula Identified by Three-dimensional Digital Subtraction Angiography-Technical Note-

2003 ◽  
Vol 43 (7) ◽  
pp. 369-373 ◽  
Author(s):  
Fujimaro ISHIDA ◽  
Tadashi KOJIMA ◽  
Kenji KAWAGUCHI ◽  
Tamotsu HOSHINO ◽  
Kenichi MURAO ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Three Dimensional ◽  
Technical Note ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Three-Dimensional Digital Subtraction Angiography for Endovascular Treatment of Direct Carotid-Cavernous Fistula

2010 ◽  
Vol 50 (5) ◽  
pp. 404-406 ◽  
Author(s):  
Shinya KOHYAMA ◽  
Shoichiro ISHIHARA ◽  
Fumitaka YAMANE ◽  
Ryuzaburo KANAZAWA ◽  
Hideaki ISHIHARA ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Digital Subtraction Angiography ◽  
Three Dimensional ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Direct Carotid Cavernous Fistula

scholarly journals A Poorly Treated Carotid-Cavernous Fistula Rescued by Coils through a PComA Approach

2009 ◽  
Vol 15 (2) ◽  
pp. 197-201
Author(s):  
J. Yu ◽  
Z. Shi ◽  
M. Lv ◽  
X. Yang ◽  
Z. Wu
Keyword(s):  
Digital Subtraction Angiography ◽  
Temporal Bone ◽  
Cavernous Sinus ◽  
Ophthalmic Artery ◽  
Parent Artery ◽  
Maxillary Artery ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Puncture Wound ◽  
Cavernous Fistula

This study describes a case of traumatic carotid-cavernous fistula poorly treated with balloons and rescued by coils through a PComA approach. A six-year-old boy suffered a left temporal bone puncture wound. Digital subtraction angiography disclosed a left carotid cavernous fistula. Five balloons were implanted into the cavernous sinus and the parent artery was sacrificed unwillingly, but the residual fistula retro-engorged by the ophthalmic artery communicated with the maxillary artery and the post circle through the PComA. We finally occluded the residual fistula through the PComA with coils. Once the parent artery was sacrificed and the distal residual fistula still retro-engorged, another patent communicating artery may be a rescue approach.

Localization of carotid cavernous fistula using digital subtraction angiography

1985 ◽  
Vol 8 (2) ◽  
pp. 68-71 ◽  
Author(s):  
Kimberly N. Wiele ◽  
Supranee Tantana ◽  
Thomas Pilla ◽  
Carol R. Archer
Keyword(s):  
Digital Subtraction Angiography ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Ocular Manifestations Of Carotid Cavernous Fistula and Clinical Outcome After Management

2021 ◽  
Vol 06 (03) ◽  
pp. 40-45
Author(s):  
Dr. Sirisha Gantela ◽  
◽  
Dr. N. Lakshmi Chowdary ◽  
Dr. M. Satyanarayana ◽  
◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Ct Scan ◽  
Digital Subtraction Angiography ◽  
Low Flow ◽  
Confirmatory Test ◽  
Parent Artery ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Ocular Manifestations

Aim: The purpose of the study is to report the ocular manifestations of Carotid cavernous fistula. Toconfirm the diagnosis by radiological investigations and to evaluate the clinical outcome aftermanagement. Materials and Methods: Patients who presented to the ophthalmology departmentwith signs and symptoms of carotid-cavernous fistula were evaluated by clinical examinationfollowed by radiological investigations like ultrasound, Doppler, CT scan and MRI. They laterunderwent DSA ( Digital Subtraction Angiography) for confirmation followed by definitive treatment.Results: Out of four patients who had direct CCF, three cases were managed by endovascularembolization of the parent artery. The remaining one case was conservatively managed by carotidmassage as it was a low flow fistula and the patient also had Parkinson’s disease. Four cases thathad indirect CCF were managed by carotid massage. Complete closure of the fistula is seen in allcases. Patients were followed up for 1 month, 3 months and 6 months and clinical outcome wasevaluated. Conclusion: CCF should be suspected in the presence of arteriolised conjunctivalvessels, proptosis and audible bruit. Diagnosis is by radiological tests like ultrasonography, Doppler,CT scan and MRI. The confirmatory test is digital subtraction angiography (DSA). Direct CCF iseffectively treated with endovascular therapy by coiling the fistula and indirect CCF is managed bymanual compression. Early diagnosis and treatment can prevent sight-threatening complications.

scholarly journals Diagnostic Value of CT Angiography (CTA) in Carotid Cavernous Fistula (CCF) Patients Using the Digital Subtraction Angiography (DSA) as The Gold Standard: Observation in Dr. Soetomo General Hospital Surabaya from January 2016 to July 2020

2021 ◽  
Vol 5 (3) ◽  
pp. 533-563
Author(s):  
Laila Amalia ◽  
Hartono Yudi Sarastika ◽  
Bambang Soeprijanto
Keyword(s):  
Digital Subtraction Angiography ◽  
General Hospital ◽  
Ct Angiography ◽  
Strong Correlation ◽  
Gold Standard ◽  
Internal Carotid ◽  
Diagnostic Value ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Introduction: CT angiography (CTA) is the initial modality for diagnosing theCarotid Cavernous Fistula (CCF), identifying the type of CCF, measuring thediameter of the fistula and the diameter of the internal carotid artery (ICA) pre andpost fistula, and then confirmed by Digital Subtraction Angiography (DSA) as thegold standard. CTA is expected to provide more information to improve theaccuracy of CCF diagnosis to benefit therapy and prevent complications. Thisstudy aimed to determine the diagnostic value of CTA in CCF patients in Dr.Soetomo General Hospital Surabaya, using the DSA as a gold standard. Methods:An observational retrospective study of CCF patients met the inclusion andexclusion criteria and underwent CTA and DSA examinations at the RadiologyInstallation of Dr. Soetomo General Hospital, Surabaya, from January 2016 toJuly 2020. Results: In the comparison of types of CCF CTA to DSA, the directgroup was 53.8% and 57.7%, respectively, while the indirect group was 46.1% and42.3% with a very strong correlation (κ = 0.922; p = 0.000), sensitivity was 93.3%,specificity was 100 %, PPV of 100%, NPV of 91.7% and accuracy of 96.15%. Directtype evaluation on the DSA showed a large picture of the fistula diameter; the ICApre fistula's size was enlarged; therefore, the ICA post fistula diameter wasreduced or absent. There was a strong correlation of fistula diametermeasurement results between CTA and DSA (r = 0.695, p = 0.006).Conclusion: CTA has a similarity rate of 92.2% with DSA in identifying the typeof CCF. The accuracy value of CTA is close to DSA in fistula diametermeasurements.

scholarly journals Diagnostic Value of CT Angiography (CTA) in Carotid Cavernous Fistula (CCF) Patients Using the Digital Subtraction Angiography (DSA) as The Gold Standard: Observation in Dr. Soetomo General Hospital Surabaya from January 2016 to July 2020

2021 ◽  
Vol 5 (6) ◽  
pp. 520-530
Author(s):  
Laila Amalia ◽  
Hartono Yudi Sarastika ◽  
Bambang Soeprijanto
Keyword(s):  
Digital Subtraction Angiography ◽  
General Hospital ◽  
Ct Angiography ◽  
Strong Correlation ◽  
Gold Standard ◽  
Diagnostic Value ◽  
Digital Subtraction ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Measurement Results

Background: CT angiography (CTA) is the initial modality for diagnosing the Carotid Cavernous Fistula (CCF), identifying the type of CCF, measuring the diameter of the fistula and the diameter of the internal carotid artery (ICA) pre and post fistula, and then confirmed by Digital Subtraction Angiography (DSA) as the gold standard. CTA is expected to provide more information to improve the accuracy of CCF diagnosis to benefit therapy and prevent complications. This study aimed to determine the diagnostic value of CTA in CCF patients in Dr. Soetomo General Hospital Surabaya, using the DSA as a gold standard. Methods: An observational retrospective study of CCF patients met the inclusion and exclusion criteria and underwent CTA and DSA examinations at the Radiology Installation of Dr. Soetomo General Hospital, Surabaya, from January 2016 to July 2020. Results: In the comparison of types of CCF CTA to DSA, the direct group was 53.8% and 57.7%, respectively, while the indirect group was 46.1% and 42.3% with a very strong correlation (κ = 0.922; p = 0.000), sensitivity was 93.3%, specificity was 100 %, PPV of 100%, NPV of 91.7% and accuracy of 96.15%. Direct type evaluation on the DSA showed a large picture of the fistula diameter; the ICA pre fistula's size was enlarged; therefore, the ICA post fistula diameter was reduced or absent. There was a strong correlation of fistula diameter measurement results between CTA and DSA (r = 0.695, p = 0.006). Conclusion: CTA has a similarity rate of 92.2% with DSA in identifying the type of CCF. The accuracy value of CTA is close to DSA in fistula diameter measurements.

scholarly journals Value of Three-Dimensional Digital Subtraction Angiography for Detection and Classification of Intracranial Aneurysm Remnants After Clipping

2021 ◽  
Author(s):  
Serge Marbacher ◽  
Matthias Halter ◽  
Deborah R Vogt ◽  
Jenny C Kienzler ◽  
Christian T J Magyar ◽  
...  
Keyword(s):  
Intracranial Aneurysm ◽  
Digital Subtraction Angiography ◽  
Diagnostic Yield ◽  
Three Dimensional ◽  
P Value ◽  
Digital Subtraction ◽  
Patient Demographics ◽  
Included Patient ◽  
2D And 3D

Abstract BACKGROUND The current gold standard for evaluation of the surgical result after intracranial aneurysm (IA) clipping is two-dimensional (2D) digital subtraction angiography (DSA). While there is growing evidence that postoperative 3D-DSA is superior to 2D-DSA, there is a lack of data on intraoperative comparison. OBJECTIVE To compare the diagnostic yield of detection of IA remnants in intra- and postoperative 3D-DSA, categorize the remnants based on 3D-DSA findings, and examine associations between missed 2D-DSA remnants and IA characteristics. METHODS We evaluated 232 clipped IAs that were examined with intraoperative or postoperative 3D-DSA. Variables analyzed included patient demographics, IA and remnant distinguishing characteristics, and 2D- and 3D-DSA findings. Maximal IA remnant size detected by 3D-DSA was measured using a 3-point scale of 2-mm increments. RESULTS Although 3D-DSA detected all clipped IA remnants, 2D-DSA missed 30.4% (7 of 23) and 38.9% (14 of 36) clipped IA remnants in intraoperative and postoperative imaging, respectively (95% CI: 30 [ 12, 49] %; P-value .023 and 39 [23, 55] %; P-value = <.001), and more often missed grade 1 (< 2 mm) clipped remnants (odds ratio [95% CI]: 4.3 [1.6, 12.7], P-value .005). CONCLUSION Compared with 2D-DSA, 3D-DSA achieves a better diagnostic yield in the evaluation of clipped IA. Our proposed method to grade 3D-DSA remnants proved to be simple and practical. Especially small IA remnants have a high risk to be missed in 2D-DSA. We advocate routine use of either intraoperative or postoperative 3D-DSA as a baseline for lifelong follow-up of clipped IA.

scholarly journals Four-dimensional digital subtraction angiography for exploration of intraosseous arteriovenous fistula in the sphenoid bone

2021 ◽  
Vol 12 ◽  
pp. 85
Author(s):  
Toshihiro Ishibashi ◽  
Fumiaki Maruyama ◽  
Issei Kan ◽  
Tohru sano ◽  
Yuichi Murayama
Keyword(s):  
Arteriovenous Fistula ◽  
Digital Subtraction Angiography ◽  
Three Dimensional ◽  
Sphenoid Bone ◽  
External Carotid ◽  
Digital Subtraction ◽  
Fused Image ◽  
Initial Imaging ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens

Background: Intraosseous arteriovenous fistula (AVF) is a rare clinical entity that typically presents with symptoms from their effect on surrounding structures. Here, we report a case of intraosseous AVF in the sphenoid bone that presented with bilateral abducens palsy. Case Description: A previously healthy man presented with tinnitus for 1 month, and initial imaging suspected dural AVF of the cavernous sinus. Four-dimensional digital subtraction angiography (4D-DSA) imaging and a three-dimensional (3D) fused image from the bilateral external carotid arteries revealed that the shunt was in a large venous pouch within the sphenoid bone that was treated through transvenous coil embolization. His symptoms improved the day after surgery. Conclusion: This is a case presentation of intraosseous AVF in the sphenoid bone and highlights the importance of 4D-DSA and 3D fused images for planning the treatment strategy.

Sign in / Sign up

Export Citation Format

Share Document