Transvenous embolization of carotid-cavernous sinus fistula associated with a primitive trigeminal artery--case report.
A 58-year-old female presented with right conjunctival chemosis and right abducens nerve paresis. Cerebral angiography demonstrated a right carotid-cavernous sinus fistula associated with persistent primitive trigeminal artery. The fistula was treated by introducing detachable coils through the transvenous approach, as the detachable balloon was not available. Follow-up angiography performed 14 days after the embolization revealed complete disappearance of the carotid-cavernous sinus fistula due to thrombosis, which was presumably accelerated by the coils. Transvenous coil embolization should be considered as an alternative treatment for high-flow carotid-cavernous sinus fistula, but only if transarterial balloon embolization is not successful or unavailable.
Oka
Y
Y
Department of Neurological Surgery, Washokai Sadamoto Hospital, Matsuyama.
Sadamoto
K
K
Tagawa
M
M
Kumon
Y
Y
Sakaki
S
S
Fujita
M
M
D001158:Arteries / Q000002:abnormalities; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014276:Trigeminal Nerve / Q000098:blood supply*