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Case Reports
. 1994;4(2):103-9.
doi: 10.1055/s-2008-1058979.

Combined arterial and venous approaches for cure of carotid-cavernous sinus fistula in a patient with fibromuscular dysplasia

E J Russell, V Reddy, R Rovin
Case Reports

Combined arterial and venous approaches for cure of carotid-cavernous sinus fistula in a patient with fibromuscular dysplasia

E J Russell et al. Skull Base Surg. 1994.

Abstract

We report the case of a woman with bilateral carotid artery fibromuscular dysplasia. The case illustrates some of the difficulties encountered in the treatment of carotid-cavernous fistula. For example, a previous contralateral carotid closure caused complications because carotid sacrifice was not now possible. This resulted in several embolization procedures requiring prolonged x-ray exposures. We show that transvascular embolotherapy must incorporate a flexible approach for access, selection of embolic materials, and clinical care.

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