Embolisation of both fistulae through the same carotid artery tear in a patient with bilateral traumatic caroticocavernous fistulae.
Endovascular treatment of traumatic caroticocavernous fistulae (CCF) may present technical difficulties with specific angiographic dilemmas. We report endovascular techniques used in a patient with bilateral post-traumatic CCF, high-flow on one side, and slow-flow on the other. Complete closure of both was achieved through the same carotid artery tear. To our knowledge, transarterial venous coil embolisation of a low-flow fistula through a contralateral carotid artery tear, with transarterial detachable balloon embolisation of the ipsilateral high-flow fistula has not been described previously.
Oran
I
I
Department of Radiology, Ege University Medical School, 35100 Izmir, Turkey. ioran@med.ege.edu.tr
Bozkaya
H
H
Parildar
M
M
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D021721:Balloon Occlusion; D002339:Carotid Arteries; D002426:Cavernous Sinus; D002533:Cerebral Angiography; D006259:Craniocerebral Trauma / Q000150:complications*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male