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[Balloon embolization of a large carotid-cavernous fistula]
J P van Schaik1, J P ter Bruggen, A C van Huffelen
1Afd. Radiodiagnostiek, Academisch Ziekenhuis, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|July 20, 1991
Insights
A 58-year-old male patient underwent successful endovascular balloon embolisation for a giant carotid-cavernous fistula. This treatment closed the fistula, restoring normal blood flow in the carotid artery and intracranial vessels.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Carotid-cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus.
- Giant CCFs pose significant risks, including vision loss and neurological deficits.
Abstract:
A 58-year-old male patient with a giant carotid-cavernous fistula was treated by means of endovascular balloon embolisation. The fistula was closed, and good antegrade flow in the carotid artery and intracranial vessels was obtained. Based on this case history, the pathophysiology, ultrasonographic and angiographic evaluation and treatment options are reviewed.