Endovascular treatment of carotid-cavernous fistula type A with platinium coils

Background. Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives charac...

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Main Authors: Ćulafić Slobodan, Juszkat Robert, Rusović Siniša, Stefanović Dara, Minić Ljubodrag, Spaić Milan
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2008-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500812923C.pdf
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author Ćulafić Slobodan
Juszkat Robert
Rusović Siniša
Stefanović Dara
Minić Ljubodrag
Spaić Milan
author_facet Ćulafić Slobodan
Juszkat Robert
Rusović Siniša
Stefanović Dara
Minić Ljubodrag
Spaić Milan
author_sort Ćulafić Slobodan
collection DOAJ
description Background. Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives characteristic eye symptoms. Case report. This paper presents a 44-year old male patient with carotidcavernous fistula as a result of penetrating head injury. In clinical presentation the patient had exophthalmos, conjunctival chemosis and weakening of vision on the right eye, headache and diplopia. Digital subtracted angiography showed high-flow carotid-cavernous fistula, which was vascularised from the left carotid artery and from vertebrobasilar artery. Endovascular embolization with platinum coils was performed through the transarterial route (endoarterial approach). Check angiogram confirmed that the fistula was closed and that no new communications developed. Conclusion. Embolization of complex carotidcavernous fistula type A was successfully performed with platinum coils by endovascular approach.
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issn 0042-8450
language English
publishDate 2008-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-e91cf94b27f0422189e8342c16996d892025-08-20T02:03:58ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502008-01-01651292392610.2298/VSP0812923CEndovascular treatment of carotid-cavernous fistula type A with platinium coilsĆulafić SlobodanJuszkat RobertRusović SinišaStefanović DaraMinić LjubodragSpaić MilanBackground. Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives characteristic eye symptoms. Case report. This paper presents a 44-year old male patient with carotidcavernous fistula as a result of penetrating head injury. In clinical presentation the patient had exophthalmos, conjunctival chemosis and weakening of vision on the right eye, headache and diplopia. Digital subtracted angiography showed high-flow carotid-cavernous fistula, which was vascularised from the left carotid artery and from vertebrobasilar artery. Endovascular embolization with platinum coils was performed through the transarterial route (endoarterial approach). Check angiogram confirmed that the fistula was closed and that no new communications developed. Conclusion. Embolization of complex carotidcavernous fistula type A was successfully performed with platinum coils by endovascular approach.http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500812923C.pdfcarotid-cavernous sinus fistulahead injuriespenetratingdiagnosisangiographydigital subtractiontherapeuticsneurosurgical proceduresembolizationtherapeutic
spellingShingle Ćulafić Slobodan
Juszkat Robert
Rusović Siniša
Stefanović Dara
Minić Ljubodrag
Spaić Milan
Endovascular treatment of carotid-cavernous fistula type A with platinium coils
Vojnosanitetski Pregled
carotid-cavernous sinus fistula
head injuries
penetrating
diagnosis
angiography
digital subtraction
therapeutics
neurosurgical procedures
embolization
therapeutic
title Endovascular treatment of carotid-cavernous fistula type A with platinium coils
title_full Endovascular treatment of carotid-cavernous fistula type A with platinium coils
title_fullStr Endovascular treatment of carotid-cavernous fistula type A with platinium coils
title_full_unstemmed Endovascular treatment of carotid-cavernous fistula type A with platinium coils
title_short Endovascular treatment of carotid-cavernous fistula type A with platinium coils
title_sort endovascular treatment of carotid cavernous fistula type a with platinium coils
topic carotid-cavernous sinus fistula
head injuries
penetrating
diagnosis
angiography
digital subtraction
therapeutics
neurosurgical procedures
embolization
therapeutic
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500812923C.pdf
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