Persistent primitive trigeminal artery-cavernous sinus fistula with intracerebral hemorrhage: Endovascular treatment using detachable coils in a transarterial double-catheter technique: Case report and review of the literature

Koji Tokunaga, Kenji Sugiu, Masahiro Kameda, Kyoji Sakai, Kaoru Terasaka, Toru Higashi, Isao Date

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Intracerebral hemorrhage occurred in this 61-year-old woman with preexisting diplopia and proptosis. Results of angiography demonstrated a persistent primitive trigeminal artery (PPTA)-cavernous sinus fistula with cortical venous reflux. Two microcatheters were introduced transarterially through the PPTA into the two draining pathways in the cavernous sinus. Coils were delivered in both pathways simultaneously to prevent further venous overload on either path. The fistula was successfully occluded without complication while the PPTA was preserved. The authors describe this double-catheter technique for coil embolization of a fistula and review the literature concerning PPTA-cavernous sinus fistulas.

Original languageEnglish
Pages (from-to)697-699
Number of pages3
JournalJournal of neurosurgery
Volume101
Issue number4
DOIs
Publication statusPublished - Oct 1 2004
Externally publishedYes

Keywords

  • Cavernous sinus fistula
  • Coil embolization
  • Endovascular therapy
  • Intracerebral hemorrhage
  • Persistent primitive trigeminal artery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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