AJDRAJNR - American Journal of Neuroradiology

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Management of a Rare Complication of Endovascular Treatment of Direct Carotid Cavernous Fistula

Serra SencerGo,a, Özenç Minarecia and Arzu Poyanlia

a From the Department of Radiology, Istanbul Faculty of Medicine, Istanbul, Turkey.



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  		FIG 1.

Lateral projection of the left ICA injection shows CCF draining by the superior and inferior ophthalmic veins.

FIG 2. Left vertebral artery injection in the lateral projection shows complete closure of the CCF and patent posterior communicating artery supplying the supraclinoid ICA and middle cerebral artery branches.

FIG 3. Axial short tau inversion recovery MR image shows mild proptosis and a balloon protruding into the left orbit.

FIG 4. Axial CT scan in bone algorithm shows tip of the needle inside the balloon. The position of the needle tip is indicated by the arrow.

FIG 5. CT scan performed at the same level after aspiration shows deflation of the balloon.





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X