Traumatic Carotid-Cavernous Fistula: Endovascular Treatment with Onyx and Coils

Carotid cavernous fistulas (CCF) are mostly post-traumatic and are due to a tear of the internal carotid artery (ICA) inside the cavernous sinus. The improvement of endovascular techniques with venous approach enables the preservation of internal carotid artery patency in most cases when detachable...

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Bibliographic Details
Published in:Interventional neuroradiology Vol. 11; no. 4; pp. 363 - 367
Main Authors: Baccin, C.E., Campos, C.M.S., Abicalaf, R., Kanashiro, L.H.T., Bolcato, M.R., Lima, S.S., Piske, R. L.
Format: Journal Article
Language:English
Published: London, England SAGE Publications 01-12-2005
Centauro S.r.l
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Summary:Carotid cavernous fistulas (CCF) are mostly post-traumatic and are due to a tear of the internal carotid artery (ICA) inside the cavernous sinus. The improvement of endovascular techniques with venous approach enables the preservation of internal carotid artery patency in most cases when detachable balloons fail in order to reconstruct and repair the tear in the ICA. The case described here has a giant aneurysmatic dilatation of the cavernous sinus and inferior petrosal sinus. We associate coils and Onyx to occlude the lesion preserving and repairing the large hole of the fistula.
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Ronie Leo Piske, M.D. - Department of Interventional Neuroradiology - Med Imagem - Hospital Beneficência Portuguesa - Rua Maestro Cardim, 769 - 1o sub-solo do bloco III - São Paulo, SP, Brazil 01323-001 - E-mail: roniepiske@uol.com.br
ISSN:1591-0199
2385-2011
DOI:10.1177/159101990501100409