Document Detail


Usefulness of C-arm cone-beam computed tomography in endovascular treatment of traumatic carotid cavernous fistulas: a technical case report.
MedLine Citation:
PMID:  20644434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Detailed information about the anatomy of traumatic carotid cavernous fistula (CCF) is required for determining the appropriate treatment strategy.
OBJECTIVE: We report the usefulness of C-arm cone-beam computed tomography (CBCT) for visualizing traumatic CCF during endovascular treatment.
CLINICAL PRESENTATION: A 63-year-old woman presented with right pulsating tinnitus 1 week after a bicycle accident. Right internal carotid angiography demonstrated a right CCF but failed to visualize its precise location because the cavernous portion of the right internal carotid artery (ICA) was hidden by early filling of the cavernous sinus during both conventional digital subtraction angiography (DSA) and 3-dimensional digital angiography.
TECHNIQUE: C-arm CBCT, performed with a flat-panel detector mounted in a C-arm angiographic system, clearly depicted the tear in the medial wall of the C4 segment of the right ICA. Transarterial embolization with coils achieved complete occlusion of the CCF, and the patient's symptoms resolved immediately after the procedure.
CONCLUSION: C-arm CBCT is useful to visualize the communication between the ICA and cavernous sinus and helps to determine the treatment strategy for traumatic CCFs.
Authors:
Kenichi Sato; Yasushi Matsumoto; Ryushi Kondo; Teiji Tominaga
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  67     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  467-9; discussion 469-70     Citation Subset:  IM    
Affiliation:
Department of Neuroendovascular Therapy, Kohnan Hospital, and Department of Neurosurgery, Tohoku University Graduate School of Medicine, Taihaku-ku, Sendai, Japan. satoken@kohnan-sendai.or.jp
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MeSH Terms
Descriptor/Qualifier:
Angiography, Digital Subtraction
Bicycling
Carotid Artery Injuries / complications,  radiography*,  surgery*
Carotid Artery, Internal / radiography
Carotid-Cavernous Sinus Fistula / radiography*,  surgery*
Cerebral Angiography
Female
Humans
Middle Aged
Neurosurgical Procedures
Spiral Cone-Beam Computed Tomography / methods*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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