title: Endovascular treatment of a ruptured dual aperture cavernous aneurysm.
abstract: 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.
authors.affiliation: Department of Radiology, Neurointerventional Division, University of California at San Francisco, San Francisco, California, USA. meyerspm@aol.com
authors.forename: P M
authors.initials: PM
authors.lastname: Meyers
authors.forename: V V
authors.initials: VV
authors.lastname: Halbach
authors.forename: C F
authors.initials: CF
authors.lastname: Dowd
authors.forename: T E
authors.initials: TE
authors.lastname: Lempert
authors.forename: J E
authors.initials: JE
authors.lastname: Lefler
authors.forename: A M
authors.initials: AM
authors.lastname: Malek
authors.forename: C C
authors.initials: CC
authors.lastname: Phatouros
authors.forename: R T
authors.initials: RT
authors.lastname: Higashida
mesh_terms: 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