Trans-radial artery graft bypass embolization for traumatic carotid-cavernous fistula: case report
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- SHIMIZU Tatsuya
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- KAMIYAMA Hiroyasu
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- TAKIZAWA Katsumi
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- TAKEBAYASHI Seiji
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- KOBAYASHI Tohru
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- SAITO Norihiro
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- KUBOTA Shunsuke
- Department of Neurosurgery, Asahikawa Red Cross Hospital
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- MARUICHI Katsuhiko
- Department of Neurosurgery, Asahikawa Red Cross Hospital
Bibliographic Information
- Other Title
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- 橈骨動脈バイパスを経由した塞栓術を行った外傷性内頚動脈海綿静脈洞瘻の1例
- ショウレイ ホウコク トウコツ ドウミャク バイパス オ ケイユ シタ ソクセンジュツ オ オコナッタ ガイショウセイ ナイ ケイドウミャク カイメン ジョウミャクドウロウ ノ 1レイ
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Abstract
Objective: We report a case of traumatic carotid-cavernous fistula treated with a combination of endovascular therapy and direct surgery.<br>Case presentation: A 24-year-old man presented with blurred vision and diplopia 6 years after a traffic accident. Cerebral angiography revealed a right carotid cavernous fistula with dilated cavernous sinus. After initial transarterial embolization of the cavernous sinus and internal carotid artery, a residual shunt was detected at the distal end of the coil mass. To reduce hemodynamic stress in the sacrificed internal carotid artery, we performed extracranial-intracranial high-flow bypass using a radial artery graft, and direct trapping of the internal carotid artery between the cervical bifurcation and the immediately proximal portion of the ophthalmic artery. However, a residual shunt from the distal end of the clip remained. Coil embolization of the fistula via radial artery graft occluded the residual shunt completely.<br>Conclusion: Endovascular treatment via radial artery graft is a safe and valuable alternative when the primary access route is eliminated.
Journal
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- Journal of Neuroendovascular Therapy
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Journal of Neuroendovascular Therapy 6 (3), 189-195, 2012
The Japanese Society for Neuroendovascular Therapy
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Details 詳細情報について
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- CRID
- 1390282680276336512
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- NII Article ID
- 40019558296
- 130003378039
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- NII Book ID
- AA1229439X
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- ISSN
- 21862494
- 18824072
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- NDL BIB ID
- 024219778
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed