Electrothrombosis of carotid-cavernous fistula

J Neurosurg. 1975 Jan;42(1):76-85. doi: 10.3171/jns.1975.42.1.0076.

Abstract

The author describes a technique for directly closing a carotid cavernous fistula with electrothrombosis while preserving the intracranial arterial circulation. Copper wires are introduced through the superior ophthalmic vein or a frontotemporal craniotomy, and thus directly into the portion of the sinus into which the fistula drains; if posterior, into the posterior segment of Parkinson's triangle, if inferior, into the pterygoid plexus, and if anterior, through the sphenoparietal sinus and/or middle cerebral vein to the anterior-inferior portion of the sinus. A direct current is applied until a thrombus is confirmed angiographically and the wires are left in place. Four patients treated by this method are presented.

MeSH terms

  • Adolescent
  • Adult
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / surgery*
  • Carotid Artery, Internal*
  • Catheterization
  • Cavernous Sinus*
  • Cerebral Angiography
  • Electrosurgery / instrumentation
  • Electrosurgery / methods*
  • Female
  • Humans
  • Male
  • Methods
  • Middle Aged