Diagnosis and endovascular treatment of spontaneous direct carotid-cavernous fistula

Yu, Jing; Lei, Ting; CHEN, Jin-cao; He, Yue; Chen, Jian; Li, Ling

doi:10.1097/00029330-200808020-00011

Cited by 15 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in our study, 40 % of patients with a direct CCF and 80 % of patients with an indirect CCF had a spontaneous beginning, which is a higher rate compared to that usually reported in the literature, especially regarding direct CCFs [5,6]. The higher prevalence of spontaneous CCFs in our series could be explained, in part, by a recent improvement of diagnostic modalities [10].…”

Section: Discussioncontrasting

confidence: 62%

“…Direct fistulas are usually post-traumatic, caused by motor vehicle accidents or penetrating injuries; however, spontaneous CCFs account for approximately 25 % of all CCFs [4], and can be caused by ICA, ruptured cavernous-located aneurysms, collagen vascular disease, such as Ehlers-Danlos syndrome, or other causes [5][6][7]. The flow rates and venous drainage in type A fistulas are variable, and depend on the size of the arteriovenous connection.…”

Section: Introductionmentioning

confidence: 99%

“…Computerized tomography and magnetic resonance imaging (MRI) can show signs of orbital congestion, proptosis, diffuse distension of a cavernous sinus and/or enlargement of the superior ophthalmic veins [5]. The gold standard diagnosis test, however, in all types of CCFs, is the selective angiography of both the ICA and ECA on both sides [11].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

et al. 2012

View full text Add to dashboard Cite

Carotid cavernous fistulas (CCFs) can be classified as direct and indirect, depending on their flow rates and their etiology. Both forms can cause the same characteristic ophthalmological symptoms and signs. We analyzed these ocular characteristics and determined the prognostics factors associated with treatment outcome. Forty-seven patients with an angiographically confirmed diagnosis of CCF, a preoperative ophthalmic evaluation and at least one ophthalmic sign or symptom at the initial presentation were retrospectively evaluated. The patients were followed-up ophthalmically until the end of treatment, and the complications and the remaining ophthalmological signs and symptoms were then recorded. The patients' ages ranged from 13 to 89 years, with an average of 55.78 (±20.73) years, and a predominance of 28 female (57.8 %) patients. The patients with a direct CCF had a lower average age (p = 0.02). The most common symptoms were blurred vision in 17 (36.2 %) and proptosis in 37 (78.7 %) patients. Elevated intraocular pressure (IOP) was more prevalent in patients with an indirect CCF (p = 0.02). Thrill was more prevalent in patients with direct CCF (p = 0.01). The presence of an initial decrease of visual acuity at the first ophthalmic evaluation was significantly associated with the persistence of ocular symptoms after fistula treatment (odds ratio 3.33). In conclusion our study shows a slight difference in ophthalmic symptoms among patients with different types of fistula. Elevated IOP was significantly associated with indirect fistulas, whereas thrill was significantly associated with direct fistulas. The presence of an initial decrease of visual acuity was significantly associated with a worse ophthalmic prognosis.

show abstract

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Even with availability of detachable balloons it was common practice to use a combination of coils and balloons 15 16. In such cases, balloons can be used as protective mechanisms for the coil occlusion or, alternatively, coils can be used to reposition the balloons to achieve occlusion.…”

Section: Discussionmentioning

confidence: 99%

Multimodal endovascular therapy of traumatic and spontaneous carotid cavernous fistula using coils, n-BCA, Onyx and stent graft

Zaidat

Lazzaro

Niu

et al. 2011

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

“…In spontaneous direct CCF, there is a sudden and dramatic increase in blood pressure within the cavernous sinus. To avoid an inevitable neurologic deficit urgent intervention for decompression of the affected nerves is warranted since spontaneous closure is unlikely in contrast to indirect fistula 12 . Current choice of treatment for direct CCF is endovascular treatment.…”

Section: Discussionmentioning

confidence: 99%

Carotid‐cavernous fistula in term pregnancy due to spontaneous rupture of carotid‐cavernous aneurysm

Doğan¹,

Salman²,

Deren³

et al. 2011

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Carotid-cavernous aneurysm accounts for 2-9% of all intracranial aneurysms. The rupture of carotid-cavernous aneurysm is usually caused by a trauma. Nevertheless, spontaneous rupture may rarely be encountered. Here, we report a term pregnant woman who was diagnosed to have a spontaneous carotid-cavernous fistula due to carotid-cavernous aneurysm rupture and was managed with detachable balloon and coils immediately after cesarean section.

show abstract

Diagnosis and endovascular treatment of spontaneous direct carotid-cavernous fistula

Cited by 15 publications

References 13 publications

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

Multimodal endovascular therapy of traumatic and spontaneous carotid cavernous fistula using coils, n-BCA, Onyx and stent graft

Carotid‐cavernous fistula in term pregnancy due to spontaneous rupture of carotid‐cavernous aneurysm

Contact Info

Product

Resources

About