[Endovascular treatment of carotid-cavernous fistula type A with platinium coils].
BACKGROUND
Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives characteristic eye symptoms.


METHODS
This paper presents a 44-year old male patient with carotid-cavernous fistula as a result of penetrating head injury. In clinical presentation the patient had exophthalmos, conjunctival chemosis and weakening of vision on the right eye, headache and diplopia. Digital subtracted angiography showed high-flow carotid-cavernous fistula, which was vascularised from the left carotid artery and from vertebrobasilar artery. Endovascular embolization with platinum coils was performed through the transarterial route (endoarterial approach). Check angiogram confirmed that the fistula was closed and that no new communications developed.


CONCLUSIONS
Embolization of complex carotid-cavernous fistula type A was successfully performed with platinum coils by endovascular approach.
Culafić
Slobodan
S
Vojnomedicinska akademija, Institut za radiologiju, Beograd, Srbija. slobostef@yahoo.com
Juszkat
Robert
R
Rusović
Sinisa
S
Stefanović
Dara
D
Minić
Ljubodrag
L
Spaić
Milan
M
D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D020197:Head Injuries, Penetrating / Q000150:complications; D006801:Humans; D008297:Male; D014948:Wounds, Gunshot / Q000150:complications