Endovascular Treatment of a Direct Carotid Cavernous Sinus Fistula with the Woven EndoBridge Aneurysm Embolization System

Tropine, Andrei; Moussa-Pacha, Abdul; Tritt, Stephanie

doi:10.1007/s00062-020-00914-1

Cited by 4 publications

(6 citation statements)

References 9 publications

(10 reference statements)

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“…The WEB device has demonstrated good long-term occlusion rates and many advantages compared with other techniques for aneurysm embolization [ 3 ]. These advantages appear to be valid for embolization of AVFs or carotid-cavernous fistulas based on preliminary findings [ 4 ]. WEB-assisted embolization does not require antiplatelet loading unlike stenting, and WEB devices can be easily applied in emergency conditions [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…These advantages appear to be valid for embolization of AVFs or carotid-cavernous fistulas based on preliminary findings [ 4 ]. WEB-assisted embolization does not require antiplatelet loading unlike stenting, and WEB devices can be easily applied in emergency conditions [ 3 , 4 ]. Unlike with liquid embolic agents, there is no trans-collateral migration or microcatheter trapping risk for the WEB [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intrasaccular Flow Disruptor (Woven EndoBridge) Assisted Embolization of Vertebral Arteriovenous Fistulas

Algin

2024

Neurointervention

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intrasaccular Flow Disruptor (Woven EndoBridge) Assisted Embolization of Vertebral Arteriovenous Fistulas

Algin

2024

Neurointervention

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“…The WEB-device is an intrasaccular flow diverter that leads to rapid disruption of flow and thrombosis; it is an established treatment option in patients with ruptured and unruptured aneurysms [ 10 ]. Tropine et al [ 11 ] described the successful occlusion of a Barrow Type A carotid-cavernous fistula (CCF) with a WEB-device, but its use in other types of high-flow arteriovenous shunting lesions has never been reported. One distinct advantage of detachable balloons in the treatment of CCFs is to create a relatively regular and smooth interface with the parent artery, which is more difficult to achieve when using coils without adjunctive techniques.…”

Section: Discussionmentioning

confidence: 99%

Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridgeTM-Device

Dahl,

Ghasemi-Rad,

Eskesen

et al. 2023

Neurointervention

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Vertebro-vertebral fistulas (VVFs) are vascular lesions that may develop after trauma or spontaneously in association with connective tissue disorders. We present a rare case of a post-traumatic VVF in a young patient presenting with a painless swelling and a bruit in her left upper neck. Digital subtraction angiography showed an arteriovenous fistula between the left vertebral artery (VA) and the vertebral venous plexus with significant steal phenomenon. Endovascular therapy was performed using a Woven EndoBridge<sup>TM</sup> (WEB)-device combined with coils that allowed preservation of the VA. The patient fully recovered from her symptoms and follow- up imaging showed stable occlusion. In conclusion, VVFs can be effectively treated using intrasaccular flow diverters such as the WEB-device, allowing for complete and stable occlusion while preserving the parent artery.

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“…Combination of liquid agents (Onyx) and solid materials (detachable coils) is also an option, especially for patients with large cavernous sinus and fistula ostium ( 11 ). There are also several other recent methods of occluding CCFs such as covered stents ( 12 ) and the Woven EndoBridge System ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Transvenous Approach for Indirect Carotid-Cavernous Fistula using Detachable Coils: A Case Report and Review of Treatment Options

Rotim

2022

ACC

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Carotid-cavernous fistula (CCF) is a relatively rare pathology with a low incidence compared with other vascular pathologies. They can be classified based on hemodynamics as low-or high-flow fistulas, and anatomically as direct or indirect fistulas. Anatomy of the shunt somewhat dictates the selection of endovascular treatment, meaning the venous or arterial approach and selection of embolizing materials. Although there is general agreement as to when to access CCF transvenously or transarterialy, which depends on the shunt being direct or indirect, there is no uniform agreement on which occlusion method should be used. Herein, we report a case of an 80-year-old woman treated for indirect CCF using detachable coils. We also provide a brief review of the literature, including recent advances in treatment of said entities. In conclusion, selection of both the approach and material used depends on the operator's experience and preference.

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Endovascular Treatment of a Direct Carotid Cavernous Sinus Fistula with the Woven EndoBridge Aneurysm Embolization System

Cited by 4 publications

References 9 publications

Intrasaccular Flow Disruptor (Woven EndoBridge) Assisted Embolization of Vertebral Arteriovenous Fistulas

Intrasaccular Flow Disruptor (Woven EndoBridge) Assisted Embolization of Vertebral Arteriovenous Fistulas

Vertebro-Vertebral Fistula Occlusion Using a Woven EndoBridgeTM-Device

Transvenous Approach for Indirect Carotid-Cavernous Fistula using Detachable Coils: A Case Report and Review of Treatment Options

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