Balloon Assisted Transvenous Coil Embolization of Posttraumatic Direct Carotid-Cavernous Fistula with the Successful Outcome: A Case Report

Shailendra Katwal, D. Chataut, Sundar Suwal, Sushmita Bhandari, Aastha Ghimire
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Abstract

A carotid cavernous fistula (CCF) is an abnormal connection between the internal carotid artery and the cavernous sinus. This case pertains to a 19-year-old male who presented with left periorbital swelling following a road traffic accident and was found to have direct CCF on imaging. The patient underwent balloon-assisted transvenous embolization, with access to the fistula being gained through the femoral vein and the inferior petrosal sinus. The use of coils successfully blocked the fistula, leading to the resolution of symptoms without any complications. This case underscores the significance of a multidisciplinary approach and the effectiveness of balloon-assisted embolization.
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球囊辅助经静脉线圈栓塞外伤后颈动脉-海绵状静脉瘘并取得成功:病例报告
颈动脉海绵瘘(CCF)是颈内动脉与海绵窦之间的异常连接。本病例涉及一名 19 岁的男性,他在一次道路交通事故后出现左侧眶周肿胀,影像学检查发现他患有直接的 CCF。患者接受了球囊辅助经静脉栓塞术,通过股静脉和下蝶窦进入瘘管。使用线圈成功阻塞了瘘管,从而缓解了症状,未出现任何并发症。该病例强调了多学科方法的重要性和球囊辅助栓塞术的有效性。
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