Is the retrograde access for endovascular treatment of a traumatic carotid cavernous fistula associated with dissection of the ipsilateral carotid possible?
| Autor: | Bruno Amaral, Darcio Nalli, Michel Frudit, Celso Saito, Henrique Carrete Junior, Igor Pagiola |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Fistula Vertebral artery Case Report Dissection (medical) 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Medicine Carotid-cavernous sinus fistula cardiovascular diseases Carotid-cavernous fistula medicine.diagnostic_test business.industry Carotid-Cavernous Sinus Fistula Dissection medicine.disease Internal Endovascular procedures Angiography Cavernous sinus cardiovascular system Radiology Internal carotid artery business 030217 neurology & neurosurgery Carotid artery |
| Zdroj: | Journal of Cerebrovascular and Endovascular Neurosurgery |
| ISSN: | 2287-3139 2234-8565 |
| Popis: | This is a case demonstrating a combined traumatic lesion of the internal carotid artery (dissection and a carotid cavernous fistula [CCF]) in a patient who was beaten during a robbery and, while trying to escape, was hit by a vehicle. Endovascular approach for the treatment was chosen using the retrograde access from the vertebral artery to the cavernous sinus by posterior communicating (Pcom) artery due to the occlusion of the ipsilateral internal carotid. Because the artery access by the internal carotid was impossible, retrograde approach by vertebral artery and Pcom artery was done to treat the direct CCF. A patient presented with left hemiplegia and proptosis, chemosis, right eye ptosis. Computed tomography (CT) and CT angiography revealed a CCF of the right carotid. An arterial retrograde endovascular approach by the vertebral artery was used for CCF occlusion with coils. We present a rare case of a combined traumatic cerebrovascular lesion, right carotid artery dissection and a right direct CCF treated by a retrograde endovascular approach by the vertebral artery through the Pcom artery to reach the fistula point and achieved a complete cure of the CCF. |
| Databáze: | OpenAIRE |
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