Oran I, Bozkaya H, Parildar M
Department of Radiology, Ege University Medical School, 35100 Izmir, Turkey.
Neuroradiology. 2004 Mar;46(3):234-7. doi: 10.1007/s00234-003-1142-6. Epub 2004 Feb 3.
Endovascular treatment of traumatic caroticocavernous fistulae (CCF) may present technical difficulties with specific angiographic dilemmas. We report endovascular techniques used in a patient with bilateral post-traumatic CCF, high-flow on one side, and slow-flow on the other. Complete closure of both was achieved through the same carotid artery tear. To our knowledge, transarterial venous coil embolisation of a low-flow fistula through a contralateral carotid artery tear, with transarterial detachable balloon embolisation of the ipsilateral high-flow fistula has not been described previously.
