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Endovascular Treatment of a Ruptured Dual Aperture Cavernous Aneurysm
Authors:Philip M. Meyers  MD  Van V. Halbach  MD  Christopher F. Dowd  MD  Todd E. Lempert  MD  James E. Lefler  MD  Adel M. Malek  M.D.  PhD  Constantine C. Phatouros  MBBS  FRACR  Randall T. Higashida  MD
Affiliation:Department of Radiology, Neurointerventional Division, University of California at San Francisco, San Francisco, California, USA. meyerspm@aol.com
Abstract:The authors describe the diagnosis and endovascular management of a multiaperture, ruptured cavernous internal carotid artery aneurysm causing a carotid cavernous fistula (CCF) using both transarterial and transvenous techniques. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with multiple shunts has not been previously reported.
Keywords:arteriovenous fistula    cavernous sinus    carotid artery disease    endovascular treatment
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