Acta clinica Croatica, Vol. 61. No. 3, 2022.
Book review
https://doi.org/10.20471/acc.2022.61.03.24
Transvenous Approach for Indirect Carotid-Cavernous Fistula using Detachable Coils: A Case Report and Review of Treatment Options
Ante Rotim
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Sciences Velika Gorica, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Vladimir Kalousek
; Department of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Marina Raguž
; Department of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Catholic University of Croatia, School of Medicine, Zagreb, Croatia
Darko Orešković
; Department of Neurosurgery, Dubrava University Hospital, Zagreb, Croatia
Filip Vrban
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Ivan Brumini
; Department of Radiology, Rijeka University Hospital Centre, Rijeka, Croatia
Krešimir Rotim
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Abstract
Carotid-cavernous fistula (CCF) is a relatively rare pathology with a low incidence
compared with other vascular pathologies. They can be classified based on hemodynamics as low- or
high-flow fistulas, and anatomically as direct or indirect fistulas. Anatomy of the shunt somewhat dictates
the selection of endovascular treatment, meaning the venous or arterial approach and selection of
embolizing materials. Although there is general agreement as to when to access CCF transvenously or
transarterialy, which depends on the shunt being direct or indirect, there is no uniform agreement on
which occlusion method should be used. Herein, we report a case of an 80-year-old woman treated for
indirect CCF using detachable coils. We also provide a brief review of the literature, including recent
advances in treatment of said entities. In conclusion, selection of both the approach and material used
depends on the operator’s experience and preference.
Keywords
Carotid cavernous Fistula; Proptosis; Endovascular Treatment; Neurosurgery; Neurointerventions
Hrčak ID:
296242
URI
Publication date:
1.11.2022.
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