A case of direct carotid cavernous fistula, whom three-dimensional computed tomographic angiography was helpful for decision making of selective coil embolization

Kohei Morimoto, Morio Nagahata, Shuichi Ono, Yoshinao Abe, Hiroyuki Miura, Takashi Ohata, Hiroshi Midorikawa, Koichi Shibutani, Masaki Iwasaki, Michiharu Nishijima

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

We reported the case of an 84-year-old female suffering from chemosis and exophthalmos. Carotid arteriograms revealed a direct carotid-cavernous fistula (CCF) but could not clearly show the fistula point because of its high-flow nature. We then performed three-dimensional computed tomographic angiography (3D-CTA) using a multi detector-row CT (MDCT) scanner. Multi-planar reformatted CT images distinctly revealed a right carotid aneurysm at the cavernous portion and a shunting point between the aneurysm and the cavernous sinus. Based on this information, we opted to performa transvenous coil embolization to treat this patient. Successful selective coil embolization was performed at the fistulous point was done with a smaller number of coils than ordinarily required in sinus packing. Performing 3D-CTA by using a MDCT was helpful in decision making for the selective coil embolization to treat direct CCF.

Original languageEnglish
Pages (from-to)1363-1366
Number of pages4
JournalBrain and Nerve
Volume59
Issue number12
Publication statusPublished - 2007 Dec 1

Keywords

  • Direct carotid cavernous fistula
  • Three-dimensional computed tomographic angiography
  • Tranvenous embolization

ASJC Scopus subject areas

  • Neuroscience(all)

Fingerprint Dive into the research topics of 'A case of direct carotid cavernous fistula, whom three-dimensional computed tomographic angiography was helpful for decision making of selective coil embolization'. Together they form a unique fingerprint.

Cite this