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Review
. 2019 Apr;25(2):135-138.
doi: 10.1177/1591019918808468. Epub 2018 Oct 31.

Treatment of direct carotid-cavernous fistulas with flow diversion - does it work?

Zeynep Hüseyinoglu  1 , Marvin D Oppong  1 , Andrew S Griffin  1 , Erik Hauck  1
Affiliations
Review

Treatment of direct carotid-cavernous fistulas with flow diversion - does it work?

Zeynep Hüseyinoglu et al. Interv Neuroradiol. 2019 Apr.

Abstract

Direct carotid-cavernous fistulas (CCFs) are high flow lesions that can be challenging to treat. A number of recent reports suggest that flow diversion may be a viable treatment option. We present a case of a post-traumatic CCF successfully treated with flow diversion and provide a review of the literature. Our results suggest that flow diversion is a potentially effective treatment option for CCFs and is most successful when used as an adjunctive therapy.

Keywords: Direct carotid-cavernous fistula; flow diversion; pipeline embolization device.

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Figures

Figure 1.
Figure 1.
(a) Anteroposterior (AP) digital subtraction angiogram of right internal carotid artery demonstrating a direct carotid-cavernous fistula (CCF); (b and c) AP and lateral views of right internal carotid arteriogram demonstrating persistent CCF after transvenous coil embolization; (d) Lateral view of right internal carotid arteriogram at three-month follow up after pipeline placement demonstrates complete resolution of the CCF.
See this image and copyright information in PMC

References

    1. Serbinenko FA. Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 1974; 107: 684–705. - PubMed
    1. Ducruet AF, Albuquerque FC, Crowley RW, et al. The evolution of endovascular treatment of carotid cavernous fistulas: A single-center experience. World Neurosurg 2013; 80: 538–548. - PubMed
    1. Tiewei Q, Ali A, Shaolei G, et al. Carotid cavernous fistulas treated by endovascular covered stent grafts with follow-up results. Br J Neurosurg 2010; 24: 435–440. - PubMed
    1. Ohlsson M, Consoli A, Rodesch G. Endovascular treatment of carotico-cavernous fistulas with acrylic glue: A series of nine cases. Neuroradiology 2016; 58: 1181–1188. - PMC - PubMed
    1. Bink A, Goller K, Luchtenberg M, et al. Long-term outcome after coil embolization of cavernous sinus arteriovenous fistulas. AJNR Am J Neuroradiol 2010; 31: 1216–1221. - PMC - PubMed

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