Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage
ObjectivesThis study aimed to discuss the clinical characteristics and emergent endovascular treatment of carotid cavernous fistulas presenting as intracranial hemorrhage.MethodsThe clinical data of five patients with carotid cavernous fistulas, who presented with intracranial hemorrhage and who wer...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1133259/full |
| _version_ | 1797844964871241728 |
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| author | Zhao-Liang Li Ai-Lin Chen Ying Chen De-Hong Yang Yu-Hui Wan Yao Wu Chun-Gang Dai Qing Zhu |
| author_facet | Zhao-Liang Li Ai-Lin Chen Ying Chen De-Hong Yang Yu-Hui Wan Yao Wu Chun-Gang Dai Qing Zhu |
| author_sort | Zhao-Liang Li |
| collection | DOAJ |
| description | ObjectivesThis study aimed to discuss the clinical characteristics and emergent endovascular treatment of carotid cavernous fistulas presenting as intracranial hemorrhage.MethodsThe clinical data of five patients with carotid cavernous fistulas, who presented with intracranial hemorrhage and who were admitted from January 2010 to April 2017, were analyzed retrospectively, and the diagnoses were confirmed by head computed tomography. Digital subtraction angiography was carried out in all the patients for the diagnosis and further emergent endovascular procedures. All patients were followed up to assess the clinical outcomes.ResultsIn total, five patients harbored five mono-lateral lesions; two of them were obliterated by detachable balloons, two by detachable coils, and one by detachable coils and Onyx glue. Only one patient was cured by another detachable balloon in the second session, and the other four patients were cured in the first session. At the 3- to 10-year follow-up, there was no intracranial re-hemorrhage in any of the patients; there was no recurrence of symptoms; and delayed occlusion of the parent artery was noted in one case.ConclusionEmergent endovascular therapy is indicated for carotid cavernous fistulas presenting as intracranial hemorrhage. Individualized treatment according to the characteristics of different lesions is safe and effective. |
| first_indexed | 2024-04-09T17:31:56Z |
| format | Article |
| id | doaj.art-e23b2b35c8124c929fd3806510d1c7dc |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T17:31:56Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-e23b2b35c8124c929fd3806510d1c7dc2023-04-18T05:25:01ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-04-011410.3389/fneur.2023.11332591133259Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhageZhao-Liang LiAi-Lin ChenYing ChenDe-Hong YangYu-Hui WanYao WuChun-Gang DaiQing ZhuObjectivesThis study aimed to discuss the clinical characteristics and emergent endovascular treatment of carotid cavernous fistulas presenting as intracranial hemorrhage.MethodsThe clinical data of five patients with carotid cavernous fistulas, who presented with intracranial hemorrhage and who were admitted from January 2010 to April 2017, were analyzed retrospectively, and the diagnoses were confirmed by head computed tomography. Digital subtraction angiography was carried out in all the patients for the diagnosis and further emergent endovascular procedures. All patients were followed up to assess the clinical outcomes.ResultsIn total, five patients harbored five mono-lateral lesions; two of them were obliterated by detachable balloons, two by detachable coils, and one by detachable coils and Onyx glue. Only one patient was cured by another detachable balloon in the second session, and the other four patients were cured in the first session. At the 3- to 10-year follow-up, there was no intracranial re-hemorrhage in any of the patients; there was no recurrence of symptoms; and delayed occlusion of the parent artery was noted in one case.ConclusionEmergent endovascular therapy is indicated for carotid cavernous fistulas presenting as intracranial hemorrhage. Individualized treatment according to the characteristics of different lesions is safe and effective.https://www.frontiersin.org/articles/10.3389/fneur.2023.1133259/fullcarotid cavernous fistulatreatmentendovascularintracranial hemorrhagecase report |
| spellingShingle | Zhao-Liang Li Ai-Lin Chen Ying Chen De-Hong Yang Yu-Hui Wan Yao Wu Chun-Gang Dai Qing Zhu Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage Frontiers in Neurology carotid cavernous fistula treatment endovascular intracranial hemorrhage case report |
| title | Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| title_full | Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| title_fullStr | Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| title_full_unstemmed | Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| title_short | Case report: emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| title_sort | case report emergent endovascular treatment for carotid cavernous fistulas presenting as intracranial hemorrhage |
| topic | carotid cavernous fistula treatment endovascular intracranial hemorrhage case report |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1133259/full |
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