Three-Dimensional Digital Subtraction Angiography for Endovascular Treatment of Direct Carotid-Cavernous Fistula —Case Report—

Shinya KOHYAMA; Shoichiro ISHIHARA; Fumitaka YAMANE; Ryuzaburo KANAZAWA; Hideaki ISHIHARA; Masanori SUZUKI

doi:10.2176/nmc.50.404

Case Reports

Three-Dimensional Digital Subtraction Angiography for Endovascular Treatment of Direct Carotid-Cavernous Fistula

—Case Report—

Shinya KOHYAMA, Shoichiro ISHIHARA, Fumitaka YAMANE, Ryuzaburo KANAZAWA, Hideaki ISHIHARA, Masanori SUZUKI

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Keywords: carotid-cavernous fistula, three-dimensional digital subtraction angiography, coil embolization, transarterial approach

JOURNAL OPEN ACCESS

2010 Volume 50 Issue 5 Pages 404-406

DOI https://doi.org/10.2176/nmc.50.404

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Abstract

A 63-year-old woman with a direct carotid-cavernous fistula (CCF), manifesting as sudden onset of severe headache and pulsatile tinnitus suffered during coronary angiography, was successfully treated with transarterial embolization based on the anatomical information obtained from volume-rendered three-dimensional digital subtraction angiography (3D DSA) images. 3D DSA is useful for understanding the configuration of such fistulas accurately and devising a therapeutic strategy for the endovascular treatment of direct CCFs.

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