Endovascular treatment of a bilateral dural carotid-cavernous fistula using an unusual unilateral approach through the basilar plexus

Guilherme Dabus, H. Hunt Batjer, Michael C. Hurley, Anitha Nimmagadda, Eric J. Russell

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Indirect carotid-cavernous fistulae are dural arteriovenous shunts between dural branches of the internal and/or external carotid arteries and the cavernous sinuses. Methods: We present an uncommon case of bilateral dural carotid-cavernous fistula with aggressive angioarchitectural features that was successfully treated with bilateral coil embolization using an unusual unilateral transvenous approach through the basilar plexus. Conclusions: This route should be considered for similar cases, and also for unilateral fistulae when the ipsilateral petrosal sinus cannot be accessed.

Original languageEnglish (US)
JournalWorld Neurosurgery
Volume77
Issue number1
DOIs
StatePublished - Jan 2012

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Fistula
Central Nervous System Vascular Malformations
External Carotid Artery
Cavernous Sinus
Internal Carotid Artery

Keywords

  • Carotid-cavernous fistula
  • Dural fistula
  • Embolization

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Endovascular treatment of a bilateral dural carotid-cavernous fistula using an unusual unilateral approach through the basilar plexus. / Dabus, Guilherme; Batjer, H. Hunt; Hurley, Michael C.; Nimmagadda, Anitha; Russell, Eric J.

In: World Neurosurgery, Vol. 77, No. 1, 01.2012.

Research output: Contribution to journalArticle

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