1. Transorbital hybrid approach for endovascular occlusion of indirect carotid-cavernous fistulas–Case report and systematic literature review
- Author
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Bascarevic Vladimir, MD, PhD, Vukasinovic Ivan, MD, PhD, Nedeljkovic Zarko, MD, Nedeljkovic Aleksandra, MD, Milicevic Mihailo, MD, PhD, Jovanovic Nemanja, MD, Milic Marina, MD, Stanimirovic Aleksandar, MD, Scepanovic Vuk, MD, and Grujicic Danica, MD, PhD
- Subjects
Dural carotid-cavernous fistula ,Superior ophthalmic vein cannulation ,Embolization ,Hybrid approach ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
ABSTRACT: Carotid-cavernous fistulas (CCF) are vascular malformations characterized by an aberrant shunt between one or more sources of arterial inflow and the cavernous sinus (CS). They are subdivided into direct and indirect fistulas. This last one, called dural CCF involve dural fistulous connections between branches of the internal carotid artery or the external carotid artery. When conventional routes are not eligible, surgical exposure of the vein is the only access to the fistula. We present the case of a patient successfully treated for right sided dural CCF, by a hybrid approach. Furthermore, through a literature review, we analyze the possible risks and benefits associated with this approach.
- Published
- 2022
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