NMC Case Report Journal
Online ISSN : 2188-4226
ISSN-L : 2188-4226
Case Reports
Target Coil Embolization Using the Combined Transarterial and Transvenous Balloon-assisted Technique for Traumatic Direct Carotid Cavernous Fistula
Ryotaro SUZUKITomoji TAKIGAWAYoshiyuki MATSUMOTOYoshiko FUJIIYasuhiko NARIAIYoshiki SUGIURAYosuke KAWAMURAIssei TAKANOYoshihiro TANAKAMasaya NAGAISHIAkio HYODOKensuke SUZUKI
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2021 Volume 8 Issue 1 Pages 13-19

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Abstract

Herein, we describe a case of traumatic direct carotid cavernous fistula (DCCF) treated with target coil embolization using the combined transarterial and transvenous balloon-assisted technique. The patient was a 59-year-old woman who had been involved in a vehicular accident. She was admitted to the hospital due to chemosis and exophthalmos. Cerebral angiography revealed a shunt from the internal carotid artery (ICA) to the cavernous sinus (CS), which indicated DCCF. Thus, target coil embolization using the combined transarterial and transvenous balloon-assisted technique was performed. Angiography was performed 1 week after surgery to confirm the disappearance of DCCF. No recurrence was observed during the 1-year follow-up after treatment. Thus, target coil embolization using the combined transarterial and transvenous balloon-assisted technique is safe and effective for the treatment of traumatic DCCF.

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© 2021 The Japan Neurosurgical Society

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