Development of indirect cavernous dural arteriovenous fistula after trapping for direct carotid cavernous fistula. A case report

Interv Neuroradiol. 2011 Mar;17(1):104-7. doi: 10.1177/159101991101700116. Epub 2011 Apr 29.

Abstract

A 60-year-old man with direct carotid cavernous fistula (CCF) due to a motor vehicle accident underwent internal carotid artery trapping following high-flow external carotid to internal carotid artery bypass (EC-IC bypass). Follow-up angiography revealed ipsilateral complex indirect cavernous arteriovenous fistula. Although the traumatic indirect CCF angioarchitecture differs from cavernous-sinus dural arteriovenous fistula (CS-DAVF), the present indirect fistula was similar to the latter. Complex indirect CCF can occur after treatment of direct CCF caused by severe head injury.

Publication types

  • Case Reports

MeSH terms

  • Carotid-Cavernous Sinus Fistula* / diagnostic imaging
  • Carotid-Cavernous Sinus Fistula* / etiology
  • Carotid-Cavernous Sinus Fistula* / therapy
  • Central Nervous System Vascular Malformations* / diagnostic imaging
  • Central Nervous System Vascular Malformations* / etiology
  • Central Nervous System Vascular Malformations* / therapy
  • Cerebral Angiography*
  • Craniocerebral Trauma / complications
  • Craniocerebral Trauma / diagnostic imaging
  • Embolization, Therapeutic*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed*