Carotico Cavernous Fistula (CCF) Treatment

A 45/F coming with pulsatile proptosis, rapidly loosing vision diagnosed to have carotico cavernous fistula (Left). She was successfully treated with endovascular coiling.

Please click the link below to see the procedure video.

http://www.youtube.com/watch?v=nDAOTJheOyE

Case submitted by

Dr. Sibasankar Dalai, MD, FACP

Consultant Interventional Radiologist & Neuroradiologist,

Seven Hills Hospital, Vizag, India, Pin: 530002

Caroticocavernous Fistula-MRI

The caroticocavernous fistula is a specific type of dural arteriovenous fistula characterized by abnormal arteriovenous shunting within the cavernous sinus. A caroticocavernous fistula results in high-pressure arterial blood entering the low-pressure venous cavernous sinus.
This interferes with normal venous drainage patterns and compromises blood flow within the cavernous sinus and the orbit. This is post RTA case with caroticocavernous fistula on the right side diagnosed on MR angiography.