Transorbital hybrid approach for endovascular occlusion of indirect carotid-cavernous fistulas–Case report and systematic literature review

Bascarevic Vladimir, MD, PhD; Vukasinovic Ivan, MD, PhD; Nedeljkovic Zarko, MD; Nedeljkovic Aleksandra, MD; Milicevic Mihailo, MD, PhD; Jovanovic Nemanja, MD; Milic Marina, MD; Stanimirovic Aleksandar, MD; Scepanovic Vuk, MD; Grujicic Danica, MD, PhD

Radiology Case Reports (Sep 2022)

Transorbital hybrid approach for endovascular occlusion of indirect carotid-cavernous fistulas–Case report and systematic literature review

Bascarevic Vladimir, MD, PhD,
Vukasinovic Ivan, MD, PhD,
Nedeljkovic Zarko, MD,
Nedeljkovic Aleksandra, MD,
Milicevic Mihailo, MD, PhD,
Jovanovic Nemanja, MD,
Milic Marina, MD,
Stanimirovic Aleksandar, MD,
Scepanovic Vuk, MD,
Grujicic Danica, MD, PhD

Affiliations

Bascarevic Vladimir, MD, PhD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Vukasinovic Ivan, MD, PhD: Center for Radiology and MRI, Clinical Center of Serbia, Pasterova 2, Serbia
Nedeljkovic Zarko, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Corresponding author.
Nedeljkovic Aleksandra, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia
Milicevic Mihailo, MD, PhD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Jovanovic Nemanja, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia
Milic Marina, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Stanimirovic Aleksandar, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia
Scepanovic Vuk, MD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Grujicic Danica, MD, PhD: Clinic for Neurosurgery, Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia

Journal volume & issue: Vol. 17, no. 9
pp. 3312 – 3317

Abstract

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ABSTRACT: Carotid-cavernous fistulas (CCF) are vascular malformations characterized by an aberrant shunt between one or more sources of arterial inflow and the cavernous sinus (CS). They are subdivided into direct and indirect fistulas. This last one, called dural CCF involve dural fistulous connections between branches of the internal carotid artery or the external carotid artery. When conventional routes are not eligible, surgical exposure of the vein is the only access to the fistula. We present the case of a patient successfully treated for right sided dural CCF, by a hybrid approach. Furthermore, through a literature review, we analyze the possible risks and benefits associated with this approach.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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