Endovascular Management of Direct Carotid-Cavernous Fistula

Chapter
Part of the Techniques in Interventional Radiology book series (TECHRAD)

Abstract

Direct carotid-cavernous fistula (CCF) is a direct connection between the internal carotid artery (ICA) and the cavernous sinus (CS) caused by a rent in wall of cavernous carotid artery. It is usually a rapid fistula with arterial pressure of the ICA transmitted to the CS and its venous drainage pathways. CCF is uncommon in the developed world.

Keywords

Direct carotid-cavernous fistula Internal carotid artery Cavernous sinus Connection Arterial pressure Developed world Prevalence Traumatic Spontaneous Clinical presentation Malignancy 

Suggested Reading

  1. Arat A, Cekirge S, Saatci I, Ozgen B. Transvenous injection of Onyx for casting of the cavernous sinus for the treatment of a carotid-cavernous fistula. Neuroradiology. 2004;46:1012–5.PubMedCrossRefGoogle Scholar
  2. Archondakis E, Pero G, Valvassori L, Boccardi E, Scialfa G. Angiographic follow-up of traumatic carotid cavernous fistulas treated with endovascular stent graft placement. Am J Neuroradiol. 2007;28:342–7.PubMedGoogle Scholar
  3. Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg. 1985;62:248–56.PubMedCrossRefGoogle Scholar
  4. Berlis A, Klisch J, Spetzger U, Faist M, Schumacher M. Carotid cavernous fistula: embolization via a bilateral superior ophthalmic vein approach. Am J Neuroradiol. 2002;23:1736–8.PubMedGoogle Scholar
  5. Chun GFH, Tomsick TA. Transvenous embolization of a direct carotid cavernous fistula through the pterygoid plexus. Am J Neuroradiol. 2002;23:1156–9.PubMedGoogle Scholar
  6. Debrun G, Lacour P, Vinuela F, Fox A, Drake CG, Caron JP. Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg. 1981;55:678–92.PubMedCrossRefGoogle Scholar
  7. Goto K, Hieshima GB, Higashida RT, Halbach VV, Bentson JR, Mehringer CM, Pribram HF. Treatment of direct carotid-cavernous sinus fistulae. Various therapeutic approaches and results in 148 cases. Acta Radiol Suppl. 1986;369:576–9.PubMedGoogle Scholar
  8. Gutpa AK, Purkayastha S, Krishnamoorthy T, Bodhey NK, Kapilamoorthy TR, Kesavadas C, Thomas B. Endovascular treatment of direct carotid cavernous fistulae: a pictorial review. Neuroradiology. 2006;48:831–9.CrossRefGoogle Scholar
  9. Higashida RT, Hieshima GB, Halbach VV, Bentson JR, Goto K. Closure of carotid-cavernous fistulae by external compression of the carotid artery and jugular vein. Acta Radiol Suppl. 1986;369:580–3.PubMedGoogle Scholar
  10. Kobayashi N, Miyachi S, Negoro M, Suzuki O, Hattori K, Kojima T, Yoshida J. Endovascular treatment strategy for direct carotid-cavernous fistulas resulting from rupture of intracavernous carotid aneurysms. Am J Neuroradiol. 2003;24:1789–96.PubMedGoogle Scholar
  11. Morón FE, Klucznik RP, Mawad ME, Strother CM. Endovascular treatment of high-flow carotid cavernous fistulas by stent-assisted coil placement. Am J Neuroradiol. 2005;26:1399–404.PubMedGoogle Scholar
  12. Van Rooij WJ, Sluzewski M, Beute GN. Ruptured cavernous sinus aneurysms causing carotid cavernous fistula: incidence, clinical presentation, treatment, and outcome. Am J Neuroradiol. 2006;27:185–9.PubMedGoogle Scholar
  13. Wang C, Xie X, You C, Zhang C, Cheng M, He M, Sun H, Mao B. Placement of covered stents for the treatment of direct carotid cavernous fistulas. Am J Neuroradiol. 2009;30:1342–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Department of NeuroradiologyFrencham HospitalBristolUK

Personalised recommendations