Related Experiment Videos
[Embolization for traumatic carotid cavernous sinus fistula using platinum coil]
T Matsuo1, M Fukushima, S Nishimura
1Department of Neurosurgery, Mitugi General Hospital.
No Shinkei Geka. Neurological Surgery
|February 1, 1992
Summary
This case study shows successful embolization of a traumatic carotid-cavernous fistula (CCF) using platinum coils after initial attempts with a detachable balloon failed. The procedure achieved complete fistula occlusion, resolving patient symptoms.
Area of Science:
- Interventional Neuroradiology
- Vascular Surgery
Background:
- Carotid-cavernous fistula (CCF) is a rare condition often resulting from head trauma.
- Treatment aims to occlude the abnormal communication between the carotid artery and the cavernous sinus.
Observation:
- A 65-year-old female presented with exophthalmos and other symptoms secondary to a traumatic CCF.
- Initial embolization with platinum coils via transarterial and transvenous routes showed temporary success.
Findings:
- A second embolization using platinum coils via a Tracker catheter achieved complete occlusion of the CCF.
- Follow-up angiography confirmed the fistula's complete occlusion after one year.
Implications:
- Platinum coil embolization is an effective treatment for traumatic CCF, even when other methods like detachable balloons encounter technical difficulties.
- This case highlights the importance of persistent interventional strategies for complex vascular lesions.