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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2019; 03(03): 171-179
DOI: 10.1055/s-0039-3400432
Pictorial Essay
by Indian Society of Vascular and Interventional Radiology

Caroticocavernous Fistulae: Clinical Presentation, Imaging, and Endovascular Treatment

Pushpinder S. Khera
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
,
Pawan K. Garg
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
,
Sarbesh Tiwari
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
,
Binit Sureka
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
,
Taruna Yadav
1   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
,
Sukalyan Purkayastha
2   Department of Interventional Radiology, Institute of Neurosciences, Kolkata, India
,
Suryanarayanan Bhaskar
3   Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, India
,
Pradeep Bhatia
4   Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, India
,
Arvind Morya
5   Department of Ophthalmology, All India Institute of Medical Sciences, Jodhpur, India
› Author Affiliations Funding None.
Further Information

Publication History

received 22 January 2019

accepted 29 April 2019

Publication Date:
04 December 2019 (online)

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Abstract

Caroticocavernous fistulas (CCFs) occur due to an abnormal communication between the high-pressure carotid artery system and the relatively lower pressure cavernous sinus system. They present with dramatic clinical presentations comprising among other things a swollen red eye with associated loss of vision to a varying degree. Blunt trauma sustained to the head, especially by two-wheeler riders, is the most common cause of the direct CCF and hence a practicing interventional radiologist in a developing country is very likely to encounter this entity in clinical practice. The authors intend to present a pictorial essay of the clinical presentations, imaging findings, endovascular management, and clinical follow-up for CCFs.

Keywords

caroticocavernous fistula - proptosis - embolization
 

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