Target Coil Embolization Using the Combined Transarterial and Transvenous Balloon-assisted Technique for Traumatic Direct Carotid Cavernous Fistula

Herein, we describe a case of traumatic direct carotid cavernous fistula (DCCF) treated with target coil embolization using the combined transarterial and transvenous balloon-assisted technique. The patient was a 59-year-old woman who had been involved in a vehicular accident. She was admitted to th...

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Detalles Bibliográficos
Autores principales: SUZUKI, Ryotaro, TAKIGAWA, Tomoji, MATSUMOTO, Yoshiyuki, FUJII, Yoshiko, NARIAI, Yasuhiko, SUGIURA, Yoshiki, KAWAMURA, Yosuke, TAKANO, Issei, TANAKA, Yoshihiro, NAGAISHI, Masaya, HYODO, Akio, SUZUKI, Kensuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116922/
https://www.ncbi.nlm.nih.gov/pubmed/34012743
http://dx.doi.org/10.2176/nmccrj.cr.2020-0045
Descripción
Sumario:Herein, we describe a case of traumatic direct carotid cavernous fistula (DCCF) treated with target coil embolization using the combined transarterial and transvenous balloon-assisted technique. The patient was a 59-year-old woman who had been involved in a vehicular accident. She was admitted to the hospital due to chemosis and exophthalmos. Cerebral angiography revealed a shunt from the internal carotid artery (ICA) to the cavernous sinus (CS), which indicated DCCF. Thus, target coil embolization using the combined transarterial and transvenous balloon-assisted technique was performed. Angiography was performed 1 week after surgery to confirm the disappearance of DCCF. No recurrence was observed during the 1-year follow-up after treatment. Thus, target coil embolization using the combined transarterial and transvenous balloon-assisted technique is safe and effective for the treatment of traumatic DCCF.

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