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Minim Invasive Neurosurg 2008; 51(1): 1-5
DOI: 10.1055/s-2007-1022539
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Endovascular Treatment of Carotid-Cavernous Fistulas: Review of 12 Cases

S. B. P. Siqueira 1 , B. C. Lázaro 1 , M. B. Gonçalves 1 , O. Maia 1 , 2 , C. M. P. Siqueira 2 , J. A. Landeiro 1
  • 1Department of Neurosurgery, Hospital de Força Aérea do Galeão, HFAG, Rio de Janeiro, Brazil
  • 2Department of Neurosurgery, Hospital São José do Avaí, HSJA, Itaperuna, Brazil
Further Information

Publication History

Publication Date:
28 February 2008 (online)

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Abstract

Carotid-cavernous fistulas (CCFs) are an uncommon pathology in current neurosurgical practice. Furthermore, they generally present a challenge to the neurosurgeon because of both their deep location and the major neurovascular structures that surround them. CCFs consist of a vascular anomaly in which blood flows from meningeal branches of the internal and external carotid arteries, or directly from the internal carotid artery, into the venous circulation around and in the cavernous sinus. Twelve patients with direct and indirect/dural CCFs who underwent examination and treatment between July 2003 and February 2006 are reported here. All patients of this retrospective evaluation were symptomatic at the time of diagnosis, which was confirmed by cerebral angiography. The patients were treated by endovascular approaches and the CCFs were occluded. From our evaluation, we concluded that the endovascular procedure is safe, effective and minimally invasive in patients with CCF.

Key words

arteriovenous fistula - carotid artery injuries - carotid-cavernous fistula - endovascular treatment

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Correspondence

J.A. Landeiro

Avenida Monsenhor Ascâneo 501 apto 202

22621-060 Rio de Janeiro

Brazil

Phone: +21/249/25 41 8

Fax: +21/228/45 34 1

Email: jalandeiro@gmail.com

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