title: Endovascular treatment in an unusual case of direct carotid cavernous fistula.
abstract: We describe a unique and unusual case of post-traumatic direct carotid cavernous fistula (CCF) with occluded proximal internal carotid artery and CCF filling from the contralateral side with retrograde cortical venous reflux. A male patient presented with intracranial haemorrhage due to cortical venous reflux. He was treated endovascularly through a contralateral approach by coiling the cavernous sinus and occluding the distal internal carotid artery at the fistulous site with glue.
authors.affiliation: Department of Neurology, KEM Hospital; Pune, India - drravindra31@rediffmail.com.
authors.forename: Rajendra Gajanan
authors.initials: RG
authors.lastname: Chavan
authors.affiliation: Department of Radiology, Vikram Hospital; Bangalore, Karnataka, India.
authors.forename: Ravindra Bhimrao
authors.initials: RB
authors.lastname: Kamble
authors.affiliation: Inamdar Multispeciality Hospital; Pune, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Bonde
mesh_terms: D000328:Adult; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D014014:Tissue Adhesives / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D014014:Tissue Adhesives
keywords: CCF; coils; glue; trauma
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