Transorbital hybrid approach for endovascular occlusion of indirect carotid-cavernous fistulas–Case report and systematic literature review

Radiology Case Reports

article

Bascarevic Vladimir¹  Vukasinovic Ivan¹  Nedeljkovic Zarko¹  Nedeljkovic Aleksandra¹  Milicevic Mihailo¹  Jovanovic Nemanja¹  Milic Marina¹  Stanimirovic Aleksandar¹  Scepanovic Vuk¹  Grujicic Danica¹ 

[1] Clinic for Neurosurgery, Clinical Center of Serbia

关键词: Dural carotid-cavernous fistula;    Superior ophthalmic vein cannulation;    Embolization;    Hybrid approach;   

DOI  :  10.1016/j.radcr.2022.06.043

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Carotid-cavernous fistulas (CCF) are vascular malformations characterized by an aberrant shunt between one or more sources of arterial inflow and the cavernous sinus (CS). They are subdivided into direct and indirect fistulas. This last one, called dural CCF involve dural fistulous connections between branches of the internal carotid artery or the external carotid artery . When conventional routes are not eligible, surgical exposure of the vein is the only access to the fistula. We present the case of a patient successfully treated for right sided dural CCF, by a hybrid approach. Furthermore, through a literature review, we analyze the possible risks and benefits associated with this approach.

【 授权许可】

CC BY|CC BY-NC-ND