J Korean Neurosurg Soc.  1992 Sep;21(9):1203-1207.

Direct Microsurgical Repair of Traumatic Carotid-Cavernous Fistula

• Kim DS
• Jung CK
• Kang JK
• Song JU
• Choi CR

Abstract

The case of a 55-year-old male developed high flow carotid-cavernous fistula(ccF) after head trauma was successfully treated by a direct microsurgical approach to the cavernous sinus. The cavernous sinus was approached through Dolenc's anteromedial and paramedical triangle by a combined extradural and subdural route. A single tear in the wall of horizontal segment of the cavernous carotid artery was obliterated using Sugita clip while temporary clips were placed on the supraclinoid and the petrous portion of the internal carotid artery.

Keyword

Carotid-cavernous fistula; Carotid artery; Cavernous sinus, direct clipping

MeSH Terms

Carotid Arteries
Carotid Artery, Internal
Cavernous Sinus
Craniocerebral Trauma
Fistula*
Humans
Male
Middle Aged