Traumatic Carotid-Cavernous Fistula Associated With Persistent Primitive Trigeminal Artery Treated by Transarterial Coil Embolization —Case Report—

Nozomu KOBAYASHI; Shigeru MIYACHI; Sachie OI; Naohito YAMAMOTO

doi:10.2176/nmc.51.37

Case Reports

Traumatic Carotid-Cavernous Fistula Associated With Persistent Primitive Trigeminal Artery Treated by Transarterial Coil Embolization

—Case Report—

Nozomu KOBAYASHI, Shigeru MIYACHI, Sachie OI, Naohito YAMAMOTO

Author information

Keywords: traumatic carotid-cavernous fistula, persistent primitive trigeminal artery, coil embolization, double catheter, balloon assist

JOURNAL OPEN ACCESS

2011 Volume 51 Issue 1 Pages 37-40

DOI https://doi.org/10.2176/nmc.51.37

Details

Abstract

A 30-year-old woman presented with traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery (PPTA) manifesting as right conjunctival chemosis, exophthalmos, and diplopia. The lesion was treated successfully by trans-arterial coil embolization using the double catheter method with balloon assist. Injury to the PPTA is relatively rare and the PPTA should be sacrificed together with the fistula during the repair.

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