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Article Abstract
Background: Direct carotid-cavernous fistulas (dCCFs) are often treated endovascularly. However, because the dCCF is usually a high-flow shunt, it is often difficult to obtain an accurate vascular structure using conventional digital subtraction angiography (DSA). Here, the authors report a case of successfully treated dCCF using three-dimensional (3D) fused DSA images.
Observations: The patient presented with tinnitus, followed by oculomotor palsy, prompting magnetic resonance imaging that indicated a dural arteriovenous fistula of the cavernous sinus. DSA was performed before treatment, and a diagnosis of dCCF due to a ruptured aneurysm was made. In this case, the 3D fused simulation images enabled the authors to obtain an accurate vascular structure, resulting in successful coil embolization.
Lessons: Three-dimensional fusion images from DSA provide detailed anatomical information and are useful for treating high-flow dCCFs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10555568 | PMC |
| http://dx.doi.org/10.3171/CASE23214 | DOI Listing |
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