Balloon Assisted Transvenous Coil Embolization of Posttraumatic Direct Carotid-Cavernous Fistula with the Successful Outcome: A Case Report

Authors

  • Shailendra Katwal Dadeldhura Subregional Hospital, Dadeldhura, Nepal
  • Dinesh Chataut Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Sundar Suwal Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Sushmita Bhandari Shankar Nagar Health Post, Butwal, Nepal
  • Aastha Ghimire Patan Academy of Health Sciences, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/njr.v14i1.64629

Keywords:

Cavernous Sinus, Femoral Vein, Young Adult

Abstract

A carotid cavernous fistula (CCF) is an abnormal connection between the internal carotid artery and the cavernous sinus. This case pertains to a 19-year-old male who presented with left periorbital swelling following a road traffic accident and was found to have direct CCF on imaging. The patient underwent balloon-assisted transvenous embolization, with access to the fistula being gained through the femoral vein and the inferior petrosal sinus. The use of coils successfully blocked the fistula, leading to the resolution of symptoms without any complications. This case underscores the significance of a multidisciplinary approach and the effectiveness of balloon-assisted embolization.

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Author Biographies

Shailendra Katwal, Dadeldhura Subregional Hospital, Dadeldhura, Nepal

Consultant Radiologist, Department of Radiology

Dinesh Chataut, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Assistant professor, Department of Intervention Radiology

Sundar Suwal, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Assistant professor, Department of Radiology

Sushmita Bhandari, Shankar Nagar Health Post, Butwal, Nepal

Medical Officer, Department of Medicine

Aastha Ghimire, Patan Academy of Health Sciences, Lalitpur, Nepal

Medical Officer, Department of Medicine

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Published

2024-04-25

How to Cite

Katwal, S., Chataut, D., Suwal, S., Bhandari, S., & Ghimire, A. (2024). Balloon Assisted Transvenous Coil Embolization of Posttraumatic Direct Carotid-Cavernous Fistula with the Successful Outcome: A Case Report. Nepalese Journal of Radiology, 14(1), 33–36. https://doi.org/10.3126/njr.v14i1.64629

Issue

Section

Case Reports