title: [Endovascular treatment of carotid-cavernous fistula type A with platinium coils].
abstract: 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.
authors.affiliation: Vojnomedicinska akademija, Institut za radiologiju, Beograd, Srbija. slobostef@yahoo.com
authors.forename: Slobodan
authors.initials: S
authors.lastname: Culafić
authors.forename: Robert
authors.initials: R
authors.lastname: Juszkat
authors.forename: Sinisa
authors.initials: S
authors.lastname: Rusović
authors.forename: Dara
authors.initials: D
authors.lastname: Stefanović
authors.forename: Ljubodrag
authors.initials: L
authors.lastname: Minić
authors.forename: Milan
authors.initials: M
authors.lastname: Spaić
mesh_terms: 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