title: Endovascular treatment of a bilateral dural carotid-cavernous fistula using an unusual unilateral approach through the basilar plexus.
abstract: BACKGROUND
  Indirect carotid-cavernous fistulae are dural arteriovenous shunts between dural branches of the internal and/or external carotid arteries and the cavernous sinuses.
  
  
  METHODS
  We present an uncommon case of bilateral dural carotid-cavernous fistula with aggressive angioarchitectural features that was successfully treated with bilateral coil embolization using an unusual unilateral transvenous approach through the basilar plexus.
  
  
  CONCLUSIONS
  This route should be considered for similar cases, and also for unilateral fistulae when the ipsilateral petrosal sinus cannot be accessed.
authors: Department of Radiology, Feinberg School of Medicine of Northwestern University, Chicago, Illinois, USA. guilhermed@baptisthealth.net
authors: Guilherme
authors: G
authors: Dabus
authors: H Hunt
authors: HH
authors: Batjer
authors: Michael C
authors: MC
authors: Hurley
authors: Anitha
authors: A
authors: Nimmagadda
authors: Eric J
authors: EJ
authors: Russell
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D020216:Carotid-Cavernous Sinus Fistula / Q000473:pathology / Q000601:surgery*; D004172:Diplopia / Q000209:etiology; D004322:Drainage; D004388:Dura Mater / Q000098:blood supply / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D009777:Occipital Bone / Q000601:surgery*