The Diagnosis and Prognosis of Atypical Carotid-Cavernous Fistula (Red-Eyed Shunt Syndrome)

Phelps, Charles D.; Thompson, H. Stanley; Ossoinig, Karl C.

doi:10.1016/0002-9394(82)90132-5

Cited by 157 publications

(77 citation statements)

References 38 publications

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“…15,40 However, some cases present with intractable intraocular hypertension or reduced ocular perfusion pressure, thereby warranting more rapid interventions to prevent progressive vision loss. 36,40,49 Due to their unique anatomy and symptomatology, CS DAVFs are often categorized using the Barrow classification system. 4 Type A fistulas represent direct high-flow shunts between the internal carotid artery and the CS, comprising mostly traumatic fistulas formed as a result of a tear in the cavernous segment of the internal carotid artery.…”

Section: Comparison Of Cs Davfs and Ncs Davfsmentioning

confidence: 99%

Stereotactic radiosurgery for intracranial dural arteriovenous fistulas: a systematic review

Chen¹,

Lee

Ding³

et al. 2015

JNS

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C urrent treatment strategies for intracranial dural arteriovenous fistulas (DAVFs) include microsurgical ligation, transarterial or transvenous embolization, stereotactic radiosurgery (SRS), and various combinations of these therapeutic options. Endovascular therapy, most commonly performed via transvenous routes, has become the preferred treatment approach for DAVFs. 27,44,48 Due to the immediate obliteration that can be achieved with endovascular or surgical occlusion, SRS is typically reserved for lesions that cannot be obliterated with endovascular or surgical approaches, or for patients who pose a high surgical risk due to medical comorbidities. Therefore, published SRS series for DAVFs remain relatively few and comprise mostly retrospective, single-center studies.In this systematic review, we evaluate the obliteration rate of DAVFs in patients treated with SRS. We also compare obliteration rates between cavernous sinus (CS) and noncavernous sinus (NCS) DAVFs, and between DAVFs with and without cortical venous drainage (CVD), by using available data in the literature. Methods inclusion CriteriaIn our attempt to balance between the largest possible patient population and a relatively homogeneous cohort, the following inclusion criteria for this systematic review were devised: 1) the study must contain at least 5 patients abbreviatioNs AVM = arteriovenous malformation; CS = cavernous sinus; CVD = cortical venous drainage; DAVF = dural arteriovenous fistula; GKS = Gamma Knife surgery; LINAC = linear accelerator; NCS = noncavernous sinus; SRS = stereotactic radiosurgery; TSS = transverse and sigmoid sinus. obJeCt The goal of this study was to evaluate the obliteration rate of intracranial dural arteriovenous fistulas (DAVFs) in patients treated with stereotactic radiosurgery (SRS), and to compare obliteration rates between cavernous sinus (CS) and noncavernous sinus (NCS) DAVFs, and between DAVFs with and without cortical venous drainage (CVD). Methods A systematic literature review was performed using PubMed. The CS DAVFs and the NCS DAVFs were categorized using the Barrow and Borden classification systems, respectively. The DAVFs were also categorized by location and by the presence of CVD. Statistical analyses of pooled data were conducted to assess complete obliteration rates in CS and NCS DAVFs, and in DAVFs with and without CVD. results Nineteen studies were included, comprising 729 patients harboring 743 DAVFs treated with SRS. The mean obliteration rate was 63% (95% CI 52.4%-73.6%). Complete obliteration for CS and NCS DAVFs was achieved in 73% and 58% of patients, respectively. No significant difference in obliteration rates between CS and NCS DAVFs was found (OR 1.72, 95% CI 0.66-4.46; p = 0.27). Complete obliteration in DAVFs with and without CVD was observed in 56% and 75% of patients, respectively. A significantly higher obliteration rate was observed in DAVFs without CVD compared with DAVFs with CVD (OR 2.37, 95% CI 1.07-5.28; p = 0.03). CoNClusioNs Treatment with SRS offers favorable rates of D...

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Section: Comparison Of Cs Davfs and Ncs Davfsmentioning

confidence: 99%

Stereotactic radiosurgery for intracranial dural arteriovenous fistulas: a systematic review

Chen¹,

Lee

Ding³

et al. 2015

JNS

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“…En casos poco sintomáticos y sin drenaje leptomeníngeo, el tratamiento conservador estaría indicado inicialmente, pues existe la posibilidad del cierre espontáneo de la fístula (entre el 17% y el 50%) 20 . Las maniobras de autocompresión manual de la carótida común pueden conseguir la curación por trombosis en casos de muy bajo flujo 1 , y se ha descrito también su cierre tras la práctica de angiografía cerebral diagnóstica 9 .…”

Section: Discussionunclassified

Embolización de fístula carótido cavernosa indirecta a través de la vena oftálmica superior

et al. 2008

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“…IOPs are usually elevated in patients with CCFs due to the elevated episcleral venous pressure from the CCF, which decreases the outflow of aqueous humor. [6][7][8]11,14) Although the IOP is difficult to control without closure of the CCF, the IOP usually decreases to within the normal range after treatment of the CCF.…”

Section: Discussionmentioning

confidence: 99%

Acute Angle-Closure Glaucoma After Successful Embolization of Traumatic Carotid-Cavernous Sinus Fistula. Case Report.

Komiyama

Morikawa

Matsusaka

et al. 2003

Neurol. Med. Chir.(Tokyo)

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A 69-year-old woman developed acute angle-closure glaucoma 2 weeks after successful transvenous coil embolization of a traumatic carotid-cavernous sinus fistula. The angle-closure glaucoma was precipitated by oculomotor palsy caused by transvenous coil packing of the cavernous sinus. Emergency iridotomy resulted in normalization of the intraocular pressure and restoration of vision. Acute angleclosure glaucoma may develop in association with an oculomotor palsy caused by any etiology, including neurointervention.

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The Diagnosis and Prognosis of Atypical Carotid-Cavernous Fistula (Red-Eyed Shunt Syndrome)

Cited by 157 publications

References 38 publications

Stereotactic radiosurgery for intracranial dural arteriovenous fistulas: a systematic review

Stereotactic radiosurgery for intracranial dural arteriovenous fistulas: a systematic review

Embolización de fístula carótido cavernosa indirecta a través de la vena oftálmica superior

Acute Angle-Closure Glaucoma After Successful Embolization of Traumatic Carotid-Cavernous Sinus Fistula. Case Report.

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