학술논문
TRANSVENOUS APPROACH FOR INDIRECT CAROTID-CAVERNOUS FISTULA USING DETACHABLE COILS: A CASE REPORT AND REVIEW OF TREATMENT OPTIONS/TRANSVENOZNI PRISTUP ZA INDIREKTNU KAROTIDNO KAVERNOZNU FISTULU KORISTECI ODVOJIVE ZAVOJNICE: PRIKAZ SLUCAJA I PREGLED METODA LIJECENJA
Document Type
Clinical report
Author
Source
Acta Clinica Croatica. September 2022, Vol. 61 Issue 3, p555, 5 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction Carotid-cavernous fistula (CCF) is a pathological vascular shunt between the internal or external carotid artery and the cavernous sinus. CCF was one of the earliest recognized intracranial vascular lesions [...]
Carotid-cavernous fistula (CCF) is a relatively rare pathology with a low incidence compared with other vascular pathologies. They can be classified based on hemodynamics as low- or high-flow fistulas, and anatomically as direct or indirect fistulas. Anatomy of the shunt somewhat dictates the selection of endovascular treatment, meaning the venous or arterial approach and selection of embolizing materials. Although there is general agreement as to when to access CCF transvenously or transarterialy, which depends on the shunt being direct or indirect, there is no uniform agreement on which occlusion method should be used. Herein, we report a case of an 80-year-old woman treated for indirect CCF using detachable coils. We also provide a brief review of the literature, including recent advances in treatment of said entities. In conclusion, selection of both the approach and material used depends on the operator's experience and preference. Keywords: Carotid cavernous fistula; proptosis; endovascular treatment; neurosurgery; neurointerventions Karotidno kavernozna fistula je relativno rijetka patologija s niskom incidnecijom u odnosu na ostale vaskularne abnormalnosti. Hemodinamski se dijele na niskoporotocne i visokoprotocne, a anatomski na direktne i indirektne. Anatomija fistule odreduje vrstu endovaskularnog tretmana, dakle arterijki ili venski pristup, kaoo I vrstu materijala kojom se vrsi embolizacija. Iako postoji opci konsenzus oko primjene arterijskog ili venskog pristupa, ovisno o tome je li fistula direktna ili indirektna, ne postoji uniformni dogovor koja bi se metoda trebala koristiti u pojedinacnim slucajevima. Ovim radom smo prikazali slucaj osamdesetogodisnje bolesnice koja je lijecena radi indirektne karotidno kavernozne fistule koristeci zavojnice. Takoder, prikazan je pregled literature i recentnog napretka u lijecenju spomenutih entiteta. Zakljucno, kako izbor pristup tako i izbor materijala ovise o iskustvu te preference operatera. Kljucne rijeci: Karotidno kavernoznafistula, proptoza, endovaskularno lijecenje, neurokirurgija, neurointervencija
Carotid-cavernous fistula (CCF) is a relatively rare pathology with a low incidence compared with other vascular pathologies. They can be classified based on hemodynamics as low- or high-flow fistulas, and anatomically as direct or indirect fistulas. Anatomy of the shunt somewhat dictates the selection of endovascular treatment, meaning the venous or arterial approach and selection of embolizing materials. Although there is general agreement as to when to access CCF transvenously or transarterialy, which depends on the shunt being direct or indirect, there is no uniform agreement on which occlusion method should be used. Herein, we report a case of an 80-year-old woman treated for indirect CCF using detachable coils. We also provide a brief review of the literature, including recent advances in treatment of said entities. In conclusion, selection of both the approach and material used depends on the operator's experience and preference. Keywords: Carotid cavernous fistula; proptosis; endovascular treatment; neurosurgery; neurointerventions Karotidno kavernozna fistula je relativno rijetka patologija s niskom incidnecijom u odnosu na ostale vaskularne abnormalnosti. Hemodinamski se dijele na niskoporotocne i visokoprotocne, a anatomski na direktne i indirektne. Anatomija fistule odreduje vrstu endovaskularnog tretmana, dakle arterijki ili venski pristup, kaoo I vrstu materijala kojom se vrsi embolizacija. Iako postoji opci konsenzus oko primjene arterijskog ili venskog pristupa, ovisno o tome je li fistula direktna ili indirektna, ne postoji uniformni dogovor koja bi se metoda trebala koristiti u pojedinacnim slucajevima. Ovim radom smo prikazali slucaj osamdesetogodisnje bolesnice koja je lijecena radi indirektne karotidno kavernozne fistule koristeci zavojnice. Takoder, prikazan je pregled literature i recentnog napretka u lijecenju spomenutih entiteta. Zakljucno, kako izbor pristup tako i izbor materijala ovise o iskustvu te preference operatera. Kljucne rijeci: Karotidno kavernoznafistula, proptoza, endovaskularno lijecenje, neurokirurgija, neurointervencija