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01.11.2006 | Interventional Neuroradiology

Endovascular treatment of direct carotid cavernous fistulae: a pictorial review

verfasst von: Arun K. Gupta, Sukalyan Purkayastha, T. Krishnamoorthy, Narendra K. Bodhey, T. R. Kapilamoorthy, C. Kesavadas, Bejoy Thomas

Erschienen in: Neuroradiology | Ausgabe 11/2006

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Abstract

Introduction

Direct carotid-cavernous fistulae (CCFs) are type A fistulae according to Barrow’s classification. Endovascular treatment of these lesions is challenging.

Methods

The purpose of this review was to evaluate the endovascular treatment of direct CCFs. We also describe the technique, symptomatology and complications associated with the procedure and report on the long-term follow-up in our treated patients.

Results

A total of 89 patients with a direct CCF were treated. All patients had baseline brain CT or MR imaging. Treatment comprised transarterial balloon or coil embolizations. The patients were followed up at 1 month and then every 6 months thereafter. Detachable balloons were used in 79 fistulae. In 12 fistulae the balloon could not be negotiated through the fistula and these fistulae were treated with transarterial coil occlusion. Clinical outcomes of the treated patients evaluated at 1 month were: 79 patients (88.8%) cured, 9 (10.1%) significantly improved, 1 (1.1%) remaining static.

Conclusion

Endovascular treatment of direct CCFs is safe and effective and results in long-term cure.

Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT (1985) Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg 62:248–256PubMed

Halbach VV, Higashida RT, Hieshima GB, Hardin CW, Yang PJ (1988) Transvenous embolization of direct carotid cavernous fistulas. Am J Neuroradiol 9:741–747

Kanner AA, Maimon S, Rappaport ZH (2000) Treatment of spontaneous carotid-cavernous fistula in Ehlers-Danlos syndrome by transvenous occlusion with Guglielmi detachable coils: case report. J Neurosurg 93:689–692PubMed

Debrun GM, Aletich VA, Miller NR, DeKeiser RJW (1996) Three cases of spontaneous direct carotid cavernous fistulas associated with Ehlers-Danlos syndrome type IV. Surg Neurol 46:247–252PubMedCrossRef

d’Angelo VA, Monte V, Scialfa G, Fiumara E, Scotti G (1988) Intracerebral venous hemorrhage in “high-risk” carotid-cavernous fistula. Surg Neurol 30:387–390PubMedCrossRef

Lesoin F, Rousseau M, Petit H, Jomin M (1984) Spontaneous development of an intracavernous arterial aneurysm into a carotid-cavernous fistula: case report. Acta Neurochir 70:53–58CrossRef

Lewis AI, Tomsick TA, Tew JM Jr (1995) Management of 100 consecutive direct carotid-cavernous fistulas: results of treatment with detachable balloons. Neurosurgery 36:239–245PubMed

Vinuela F, Fox AJ, Debrun GM, Peerless SJ, Drake CG (1984) Spontaneous carotid-cavernous fistulas: clinical, radiological, and therapeutic considerations: experience with 20 cases. J Neurosurg 60:976–984PubMed

Kinugasa K, Tokunaga K, Kamata I, Mandai S, Sugiu K, Handa A, Ohmoto T (1994) Selection and combination of techniques for treating spontaneous carotid-cavernous sinus fistulas. Neurol Med Chir (Tokyo) 34:597–606CrossRef

10.

Parkinson D (1973) Carotid cavernous fistula: direct repair with preservation of the carotid artery-technical note. J Neurosurg 38:99–106PubMed

11.

Gobin PG, Duckwiler GR, Viñuela F (1996) Direct arteriovenous fistulas (carotid cavernous and vertebral-venous), diagnosis and intervention. In: Russel E, Meyer J (eds) Neurovascular malformations: diagnosis and intervention. WB Saunders, Philadelphia, pp 425–443

12.

Ciesielski T, Stefanowicz E, Brzozowski E (1984) A case of post-traumatic carotid-cavernous fistula in a 9-year-old girl. Neurol Neurochir Pol 18:65–67PubMed

13.

Bruckmann H, Zeumer H, Meegen T, Kotlarek F (1986) Orbital venous congestion in childhood: diagnostic and therapeutical implications. Klin Paediatr 198:489–492

14.

Arseni C, Horvath L, Ciurea V, Simionescu N (1978) Carotid-cavernous fistula in the child. Neurol Psychiatr (Bucur) 16:29–32

15.

Amirjamshidi A, Abbassioun K, Roosbeh H (1997) Air-gun pellet injuries to the head and neck. Surg Neurol 47:331–338PubMedCrossRef

16.

Kanaan I, Coates R, Lasjaunias P (1996) Atypical course of carotid cavernous sinus fistula in a six-year-old child. Childs Nerv Syst 12:789–793PubMedCrossRef

17.

Kurul S, Cakmakci H, Kovanlikaya A, Dirik E (2001) The benign course of carotid-cavernous fistula in a child. Eur J Radiol 39:77–79PubMedCrossRef

18.

Gossman MD, Berlin AJ, Weinstein MA, Hahn J, Price RL (1993) Spontaneous direct carotid-cavernous fistula in childhood. Ophthal Plast Reconstr Surg 9:62–65PubMedCrossRef

19.

Rai AT, Sivak-Callcott JA, Larzo C, Marano GD (2004) Direct carotid cavernous fistula in infancy: presentation and treatment. Am J Neuroradiol 25:1083–1085PubMed

20.

Halbach VV, Hieshima GB, Higashida RT, Reicher M (1987) Carotid cavernous fistulae: indications for urgent treatment. AJR 149:587–593PubMed

21.

de Schweinitz GE, Holloway TB (1908) Pulsating exophthalmos: its etiology, symptomatology, pathogenesis and treatment. WB Saunders, Philadelphia

22.

Sattler CH (1920) Pulsierender exophthalmos. Handbuch der Gesamten Augenheilkunde. Springer, Berlin Heidelberg New York

23.

Kosnic EJ, Hunt WE, Miller CA (1974) Dural arteriovenous malformation. J Neurosurg 40:322–329

24.

Lasjaunias P, Ming C, Brugge KT, Atul T (1986) Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64:724–730PubMed

25.

Vinuela F, Fox AJ, Pelz DM, Drake CG (1986) Unusual clinical manifestations of dural arteriovenous malformations. J Neurosurg 64:554–558PubMed

26.

Mullan S (1974) Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41:657–670PubMed

27.

Hosobuchi Y (1975) Electrothrombosis of carotid-cavernous fistula. J Neurosurg 42:76–85PubMed

28.

Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145PubMed

29.

Debrun GM, Vinuela F, Fox AJ, Davis KR, Ahn HS (1988) Indication for treatment and classification of 132 carotid-cavernous fistulas. Neurosurgery 22:285–289PubMed

30.

Goto K, Hieshima GB, Higashida RT, Halbach VV, Bentson JR, Mehringer CM, Pribram HF (1986) Treatment of direct carotid cavernous sinus fistulae: various therapeutic approaches and results in 148 cases. Acta Radiol Suppl 369:576–579PubMed

31.

Debrun GM (1983) Treatment of traumatic carotid-cavernous fistula using detachable balloon catheters. Am J Neuroradiol 4:355–356PubMed

32.

Miyachi S, Negoro M, Handa T, Terashima K, Keino H, Sugita K (1992) Histopathological study of balloon embolization: silicone versus latex. Neurosurgery 30:483–489PubMed

33.

Monsein LH, Debrun GM, Chazaly JR (1990) Hydroxyethyl methylacrylate and latex balloons. Am J Neuroradiol 11:663–664PubMed

34.

Forsting M, Sartor K (1991) Hema and latex: a dangerous combination? Neuroradiology 33:338–340PubMedCrossRef

35.

Shimizu T, Waga S, Kojima T, Tanaka K (1988) Transvenous balloon occlusion of the cavernous sinus: an alternative therapeutic choice for recurrent traumatic carotid-cavernous fistulas. Neurosurgery 22:550–553PubMed

36.

Halbach VV, Higashida RT, Barnwell SL, Dowd CF, Hieshima GB (1991) Transarterial platinum coil embolization of carotid-cavernous fistulas. Am J Neuroradiol 12:429–433PubMed

37.

Siniluoto T, Seppanen S, Kuurne T, Wikholm G, Leinonen S, Svendsen P (1997) Transarterial embolization of a direct carotid cavernous fistula with Guglielmi detachable coils. Am J Neuroradiol 18:519–523PubMed

38.

Guglielmi G, Vinuela F, Briganti F, Duckwiler G (1992) Carotid-cavernous fistula caused by a ruptured intracavernous aneurysm: endovascular treatment by electrothrombosis with detachable coils. Neurosurgery 31:591–597PubMed

39.

Wanke I, Doerfler A, Stolke D, Forsting M (2001) Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm. J Neurol Neurosurg Psychiatry 71:784–787PubMedCrossRef

40.

Remonda L, Frigerio SB, Bühler R, Schroth G (2004) Transvenous coil treatment of a type a carotid cavernous fistula in association with transarterial trispan coil protection. Am J Neuroradiol 25:611–613PubMed

41.

Kocer N, Kizilkilic O, Albayram S, Adaletli I, Kantarci F, Islak C (2002) Treatment of iatrogenic internal carotid artery laceration and carotid cavernous fistula with endovascular stent-graft placement. Am J Neuroradiol 23:442–446PubMed

42.

Weber W, Henkes H, Berg-Dammer E, Esser J, Kuhne D (2001) Cure of a direct carotid cavernous fistula by endovascular stent deployment. Cerebrovasc Dis 12:272–275PubMedCrossRef

43.

Islak C, Kocer N, Albayram S, Kizilkilic O, Uzma O, Cokyuksel O (2002) Bare stent-graft technique: a new method of endoluminal vascular reconstruction for the treatment of giant and fusiform aneurysms. Am J Neuroradiol 23:1589–1595PubMed

44.

Debrun G, Lacour P, Vinuela F, Fox A, Drake CG, Caron JP (1981) Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg 55:678–692PubMedCrossRef

45.

Higashida RT, Halbach VV, Tsai FY, Norman D, Pribram HF, Mehringer CM, Hieshima GB (1989) Interventional neurovascular treatment of carotid cavernous fistula with detachable balloon. Am J Roentgenol 153:577–582

46.

Kobayashi N, Miyachi S, Negoro M, Suzuki O, Hattori K, Kojima T, Yoshida J (2003) Endovascular treatment strategy for direct carotid-cavernous fistulas resulting from rupture of intracavernous carotid aneurysms. Am J Neuroradiol 24:1789–1796PubMed

47.

Klisch K, Schipper J, Husstedt H, Laszig R, Schumacher M (2001) Transsphenoidal computer-navigation-assisted deflation of a balloon after endovascular occlusion of a direct carotid cavernous sinus fistula. Am J Neuroradiol 22:537–540PubMed

48.

Halbach VV, Higashida RT, Dowd CF, Barnwell SL, Hieshima GB (1990) Treatment of carotid cavernous fistulas associated with Ehlers-Danlos syndrome. Neurosurgery 26:1021–1027PubMedCrossRef

Titel: Endovascular treatment of direct carotid cavernous fistulae: a pictorial review
verfasst von: Arun K. Gupta
Sukalyan Purkayastha
T. Krishnamoorthy
Narendra K. Bodhey
T. R. Kapilamoorthy
C. Kesavadas
Bejoy Thomas
Publikationsdatum: 01.11.2006
Verlag: Springer-Verlag
Erschienen in: Neuroradiology / Ausgabe 11/2006
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-006-0132-x

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