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 journalReview article

9 Scopus citations

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)
Pages (from-to)201.e5-201.e8
JournalWorld neurosurgery
Volume77
Issue number1
DOIs
StatePublished - Jan 2012

Keywords

  • Carotid-cavernous fistula
  • Dural fistula
  • Embolization

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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