Endovascular treatment of a ruptured dual aperture cavernous aneurysm.
The authors describe the diagnosis and endovascular management of a multiaperture, ruptured cavernous internal carotid artery aneurysm causing a carotid cavernous fistula (CCF) using both transarterial and transvenous techniques. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with multiple shunts has not been previously reported.
Meyers
P M
PM
Department of Radiology, Neurointerventional Division, University of California at San Francisco, San Francisco, California, USA. meyerspm@aol.com
Halbach
V V
VV
Dowd
C F
CF
Lempert
T E
TE
Lefler
J E
JE
Malek
A M
AM
Phatouros
C C
CC
Higashida
R T
RT
D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000628:therapy*; D002343:Carotid Artery, Internal; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000628:therapy*; D002426:Cavernous Sinus; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed