PMID: 7526250Sep 1, 1994Paper

Selection and combination of techniques for treating spontaneous carotid-cavernous sinus fistulas

Neurologia Medico-chirurgica
K KinugasaT Ohmoto

Abstract

Twenty-eight patients with spontaneous carotid-cavernous sinus fistulas (CCFs) were treated using a variety of techniques. Three of four patients with direct CCFs underwent intravascular embolization with a detachable balloon. Embolization with polyvinyl alcohol particles through an external carotid endoarterial route was used in six patients with indirect CCFs, and with ethylene-vinyl alcohol copolymer solution in two. Patients undergoing these conventional treatments, including embolization of the meningeal branches of the external carotid artery, had less satisfactory outcomes. The transvenous approach using minicoils through the inferior petrosal sinus was successful in eight patients. One patient treated using the transvenous approach using copper wire through the ophthalmic vein had worsening of visual acuity and field. Unsuccessful transvenous embolization in four patients required direct surgical exposure and embolization with spring coils. Spontaneous cures occurred in four patients. Direct CCFs with high flow rates were best treated with the detachable balloon or coil technique through a internal carotid endoarterial route. Indirect CCFs were best treated with the minicoil through the inferior petrosal sinus. If these...Continue Reading

Citations

Sep 14, 2006·Neuroradiology·Arun K GuptaBejoy Thomas
Nov 17, 2007·Neurosurgical Focus·Neil R Miller
Oct 20, 1999·Journal of Vascular and Interventional Radiology : JVIR·K C WrightR E Price
Dec 12, 2012·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·G Cabral De AndradeE R Pereira
Sep 28, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Alioscia De RenzisSalvatore Mangiafico
Nov 30, 1997·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·N KuwayamaA Takaku

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