Transvenous Embolization of a Carotid Cavernous Fistula Complicated by a Hematoma at the Tentorial Edge. Issue 3 (May 2014)

• Record Type: Journal Article
• Authors: Baharvahdat, Humain; Shabestari, Mahmoud M.; Zabihyan, Samira; Etemadresaei, Hamid; Blanc, Raphäel; Piotin, Michel
• Is Part Of: Interventional neuroradiology. Volume 20:Issue 3(2014)
• Page Start: 301
• Page End: 303
• Publication Date: 2014-05
• Subjects: carotid cavernous fistula -- dural fistula -- intracranial hemorrhage -- tentorial hematoma; Nervous system -- Interventional radiology -- Periodicals; Nervous system -- Radiography -- Periodicals; Nervous System Diseases -- Periodicals -- radiography; Neuroradiography -- Periodicals; Radiography, Interventional -- Periodicals; Nervous system -- Radiography; Periodicals; 617.4805
• DOI: 10.15274/INR-2014-10036
• Languages: English
• ISSNs: 1591-0199

Abstract

Indirect (dural) carotid cavernous fistulae are generally treated by endovascular surgery primary transvenous embolization that is safe and effective. We describe here a case of a left indirect carotid cavernous fistula that presented with proptosis and eye redness. The patient underwent transvenous embolization of carotid cavernous sinus. The procedure was complicated by a haemorrhage from the cavernous sinus. The post procedural CT scan showed a haematoma at the tentorial edge. Precise diagnosis and prompt treatment could prevent severe complications.