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Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula

A carotid-cavernous sinus fistula (CCF) is a clinical condition when there is an abnormal communication between the internal carotid artery, external carotid artery (ECA), or any of their branches to the cavernous sinus. Traumatic CCF (TCCF) is the most common type of all CCFs. This study aims to fi...

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Autores principales: Permana, Galih Indra, Suroto, Nur Setiawan, Al Fauzi, Asra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244704/
https://www.ncbi.nlm.nih.gov/pubmed/34268168
http://dx.doi.org/10.4103/ajns.AJNS_246_20
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author Permana, Galih Indra
Suroto, Nur Setiawan
Al Fauzi, Asra
author_facet Permana, Galih Indra
Suroto, Nur Setiawan
Al Fauzi, Asra
author_sort Permana, Galih Indra
collection PubMed
description A carotid-cavernous sinus fistula (CCF) is a clinical condition when there is an abnormal communication between the internal carotid artery, external carotid artery (ECA), or any of their branches to the cavernous sinus. Traumatic CCF (TCCF) is the most common type of all CCFs. This study aims to find clinical improvement of traumatic carotid-cavernous fistulas (TCCF) after endovascular treatment. We predict the degree of clinical recovery in an attempt to make the treatment of TCCF safe and effective. This study reported a series of 28 patients with TCCFs undergoing coiling and ballooning in a period of 3 years, i.e., from December 2014 to December 2017. This is a novel case report about CCF in our country, Indonesia, especially in Surabaya. We performed clinical, angiographical, and radiological assessments before and at regular time periods after the procedure until 6 months. All patients had a partial and complete occlusion of the fistula. Angiographic occlusion of fistula, visualization of the ophthalmic artery, and disappearance of bruit predicted a good clinical outcome. All patients made a recovery at different times, depending on the degree of fistulas and treatment. Improvement in clinical symptoms had a direct correlation with the degree of occlusion. Treatment was divided into coiling and ballooning depending on patient's condition and angiographic examination. Trans femoral cerebral angiography is still very important diagnostic tool in the diagnosis and treatment of TCCFs.
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spelling pubmed-82447042021-07-14 Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula Permana, Galih Indra Suroto, Nur Setiawan Al Fauzi, Asra Asian J Neurosurg Case Report A carotid-cavernous sinus fistula (CCF) is a clinical condition when there is an abnormal communication between the internal carotid artery, external carotid artery (ECA), or any of their branches to the cavernous sinus. Traumatic CCF (TCCF) is the most common type of all CCFs. This study aims to find clinical improvement of traumatic carotid-cavernous fistulas (TCCF) after endovascular treatment. We predict the degree of clinical recovery in an attempt to make the treatment of TCCF safe and effective. This study reported a series of 28 patients with TCCFs undergoing coiling and ballooning in a period of 3 years, i.e., from December 2014 to December 2017. This is a novel case report about CCF in our country, Indonesia, especially in Surabaya. We performed clinical, angiographical, and radiological assessments before and at regular time periods after the procedure until 6 months. All patients had a partial and complete occlusion of the fistula. Angiographic occlusion of fistula, visualization of the ophthalmic artery, and disappearance of bruit predicted a good clinical outcome. All patients made a recovery at different times, depending on the degree of fistulas and treatment. Improvement in clinical symptoms had a direct correlation with the degree of occlusion. Treatment was divided into coiling and ballooning depending on patient's condition and angiographic examination. Trans femoral cerebral angiography is still very important diagnostic tool in the diagnosis and treatment of TCCFs. Wolters Kluwer - Medknow 2021-05-28 /pmc/articles/PMC8244704/ /pubmed/34268168 http://dx.doi.org/10.4103/ajns.AJNS_246_20 Text en Copyright: © 2021 Asian Journal of Neurosurgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Permana, Galih Indra
Suroto, Nur Setiawan
Al Fauzi, Asra
Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title_full Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title_fullStr Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title_full_unstemmed Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title_short Clinical Improvement of Patients with Endovascular Treatment in the Traumatic Carotid-Cavernous Fistula
title_sort clinical improvement of patients with endovascular treatment in the traumatic carotid-cavernous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244704/
https://www.ncbi.nlm.nih.gov/pubmed/34268168
http://dx.doi.org/10.4103/ajns.AJNS_246_20
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