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- Title
Carotid–Cavernous Fistula Treatment With Ethylene Vinyl Alcohol (Onyx) Exclusively Through Anterior Venous Approach.
- Authors
Santos-Franco, J. A.; Lee, A.; Zenteno, M.; Gil-Ortiz, C.; Vega-Montesinos, S.
- Abstract
The type of venous drainage of a direct carotid–cavernous fistula is an important issue to consider for the endovascular therapeutic decision. In case of an inadequate posterior drainage associated with a good anterior drainage, the facial vein is a useful alternative. The exclusive embolization with ethylene vinyl alcohol (EVOH Onyx), arterial and/or venous via the internal carotid artery (ICA) occlusion has been used successfully, in a few cases until now. Nevertheless, the use of this method through anterior transvenous approach has not been previously described. Presented here is the case of a 13-year-old female patient with left posttraumatic carotid–cavernous fistula, with predominant anterior drainage, as well as carrier of traumatic occlusion of the contralateral ICA. The treatment was by means of a transvenous approach with transient occlusion of the left ICA.
- Subjects
BRAIN anatomy; CAROTID artery disease diagnosis; FACIAL paralysis; ARTERIOVENOUS fistula; VASCULAR surgery; ETHYLENE; BRAIN diseases; DIFFUSION of innovations; HOSPITAL care; LENGTH of stay in hospitals; EVALUATION of medical care; PEDIATRICS; TOMOGRAPHY; VINYL polymers; THERAPEUTIC embolization; DIAGNOSIS; THERAPEUTICS
- Publication
Vascular & Endovascular Surgery, 2012, Vol 46, Issue 4, p332
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574412442594