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The Treatment of Indirect Carotid Cavernous Fistula in a Pediatric Patient With Deep Recurrent Ophthalmic Artery and Hemophilia.
Cureus
November 2024
Neurological Surgery, Hospital Jose Eleuterio Gonzalez, Universidad de Nuevo Leon, Monterrey, MEX.
The treatment of indirect carotid-cavernous fistula (CCF) poses a unique challenge. Currently, endovascular interventions remain the principal treatment option with high cure rates and acceptable safety profiles. The anatomical characteristics of individual cases determine the optimal vascular access routes (transvenous vs.
View Article and Find Full Text PDFComplex Indirect Carotid-Cavernous Fistula With Contralateral Ophthalmic Manifestations.
Cureus
November 2024
Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare.
View Article and Find Full Text PDFA "Mismatched" connection: a rare case of indirect or dural carotid-cavernous fistula: a case based review.
Ann Med Surg (Lond)
December 2024
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
Introduction And Importance: A carotid-cavernous sinus fistula is an abnormal connection between the internal or external carotid artery and the venous system of the cavernous sinus. It represents a rare entity, and it is often misdiagnosed due to its overlapping symptoms with other conditions such as cavernous sinus thrombosis or orbital inflammation. Cerebral angiography continues to be the gold standard for diagnosis and surgical planning in patients with CCF, and the endovascular trans-venous approach still represents the primary line of treatment.
View Article and Find Full Text PDFMinimally Invasive Endovascular Treatment of Bilateral Indirect Carotid-Cavernous Fistula.
Neurol India
November 2024
Department of Neurosurgery, Aster CMI, Bengaluru, Karnataka, India.
Embolization of indirect carotid cavernous fistulas via the vein of Labbé using contralateral approach.
J Neurointerv Surg
November 2024
Department of Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan
Article Synopsis
- A 60-year-old patient with symptomatic indirect carotid-cavernous fistulas (CCFs) was studied, revealing all venous outflow routes absent except for an engorged left middle cerebral vein.
- The treatment involved a retrograde approach starting from the right femoral vein to successfully reach and embolize the CCFs using coils, with no complications.
- This case highlights a novel technique utilizing the trans-Labbé vein from a contralateral approach, which avoids difficult angles during the procedure, making it beneficial for similar cases.
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