Neuroendovascular management of carotid cavernous fistulae

Neurosurg Clin N Am. 2009 Oct;20(4):447-52. doi: 10.1016/j.nec.2009.07.013.

Abstract

Carotid-cavernous fistulae are abnormal arterial communications within the cavernous sinus. Endovascular obliteration is the mainstay therapy for the definitive treatment of these lesions. Several approaches have been described. These include transarterial or transvenous embolization with balloons, coils, particles, or covered stents, and arterial sacrifice. The preferred technique is based on the fistula type (direct or indirect), microanatomy, chronicity, and the extent of the arterial defect.

Publication types

  • Review

MeSH terms

  • Balloon Occlusion / instrumentation
  • Balloon Occlusion / methods
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / pathology
  • Carotid Artery, Internal / surgery
  • Carotid-Cavernous Sinus Fistula / diagnostic imaging
  • Carotid-Cavernous Sinus Fistula / pathology
  • Carotid-Cavernous Sinus Fistula / therapy*
  • Cavernous Sinus / diagnostic imaging
  • Cavernous Sinus / pathology
  • Cavernous Sinus / physiopathology
  • Cerebrovascular Circulation / physiology
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Humans
  • Polymers / therapeutic use
  • Prostheses and Implants / trends
  • Radiography
  • Stents

Substances

  • Polymers