Endovascular therapy of carotid cavernous fistulas.

S. L. Barnwell, O. R. O'Neill

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The clinical manifestations of carotid cavernous fistulas, regardless of the type, depend on the pattern of venous drainage from the fistula. Venous drainage toward the orbit produces the usual syndrome of proptosis, chemosis, and arterialization of scleral veins. If the venous drainage is toward the brain, the signs and symptoms may not be as apparent, but the risk for catastrophic hemorrhage is much higher. Although many of these lesions may be managed in a conservative fashion, there are indications for urgent treatment to prevent a devastating hemorrhage or loss of vision. Direct carotid cavernous fistulas can usually be managed by transarterial embolization, most commonly with detachable balloons. The transvenous approach is most efficacious for treating indirect carotid cavernous fistulas.

Original languageEnglish (US)
Pages (from-to)485-495
Number of pages11
JournalNeurosurgery Clinics of North America
Volume5
Issue number3
StatePublished - Jul 1994

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Fistula
Drainage
Hemorrhage
Exophthalmos
Orbit
Therapeutics
Signs and Symptoms
Veins
Brain

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Barnwell, S. L., & O'Neill, O. R. (1994). Endovascular therapy of carotid cavernous fistulas. Neurosurgery Clinics of North America, 5(3), 485-495.

Endovascular therapy of carotid cavernous fistulas. / Barnwell, S. L.; O'Neill, O. R.

In: Neurosurgery Clinics of North America, Vol. 5, No. 3, 07.1994, p. 485-495.

Research output: Contribution to journalArticle

Barnwell, SL & O'Neill, OR 1994, 'Endovascular therapy of carotid cavernous fistulas.', Neurosurgery Clinics of North America, vol. 5, no. 3, pp. 485-495.
Barnwell, S. L. ; O'Neill, O. R. / Endovascular therapy of carotid cavernous fistulas. In: Neurosurgery Clinics of North America. 1994 ; Vol. 5, No. 3. pp. 485-495.
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