Abstract
A middle-aged patient presented with right-sided chemosis, exophthalmos, and progressive visual loss. Digital subtraction angiography revealed a type D carotid-cavernous fistula (CCF). Transarterial embolization through the internal maxillary artery was unsuccessful, and there was no venous access to the CCF. A robotic-guided direct transtemporal embolization of the CCF with Onyx was performed, resulting in successful fistula obliteration and symptom resolution. This is the first reported case of a robotic-guided direct transcranial CCF embolization. We include a technical video that demonstrates this procedure (Supplemental File 1).
Original language | English (US) |
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Pages (from-to) | 1122-1123 |
Number of pages | 2 |
Journal | Journal of neurointerventional surgery |
Volume | 15 |
Issue number | 11 |
DOIs | |
State | Published - Nov 1 2023 |
Keywords
- Balloon
- Fistula
- Liquid Embolic Material
- Technique
- Vascular Malformation
ASJC Scopus subject areas
- Surgery
- Clinical Neurology