Persistent primitive trigeminal artery-cavernous sinus fistula with intracerebral hemorrhage: endovascular treatment using detachable coils in a transarterial double-catheter technique. Case report and review of the literature
Autor: | Masahiro Kameda, Kyoji Sakai, T. Higashi, Kaoru Terasaka, Koji Tokunaga, Kenji Sugiu, Isao Date |
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Rok vydání: | 2004 |
Předmět: |
medicine.medical_specialty
Fistula medicine.medical_treatment Catheterization medicine Humans Embolization Sinus (anatomy) Intracerebral hemorrhage medicine.diagnostic_test business.industry Cerebral Arteries Middle Aged medicine.disease Embolization Therapeutic Surgery Catheter medicine.anatomical_structure Angiography Cavernous sinus Trigeminal artery Cavernous Sinus Female Radiology business Intracranial Hemorrhages |
Zdroj: | Journal of neurosurgery. 101(4) |
ISSN: | 0022-3085 |
Popis: | ✓ Intracerebral hemorrhage occurred in this 61-year-old woman with preexisting diplopia and proptosis. Results of angiography demonstrated a persistent primitive trigeminal artery (PPTA)—cavernous sinus fistula with cortical venous reflux. Two microcatheters were introduced transarterially through the PPTA into the two draining pathways in the cavernous sinus. Coils were delivered in both pathways simultaneously to prevent further venous overload on either path. The fistula was successfully occluded without complication while the PPTA was preserved. The authors describe this double-catheter technique for coil embolization of a fistula and review the literature concerning PPTA—cavernous sinus fistulas. |
Databáze: | OpenAIRE |
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