Transethmoidal transsphenoidal approach for embolization of a carotid-cavernous fistula

Case report

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✓ The authors describe a case of carotid-cavernous fistula that was not treatable by the standard interventional neuroradiological techniques of transarterial or transvenous occlusion of the fistula because access was blocked by prior trapping procedures. Access to the venous side of the fistula was gained by means of a transethmoidal transsphenoidal exposure, making it possible to embolize the lesion with coils. The details of this approach are described.

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Contributor Notes

Address for Dr. Pile-Spellman: Columbia Presbyterian College of Physicians and Surgeons, New York, New York 10032.Address reprint requests to: Christopher S. Ogilvy, M.D., Cerebrovascular Surgery, Neurosurgical Service, Massachusetts General Hospital, Fruit Street, Boston, Massachusetts 02114.

© AANS, except where prohibited by US copyright law.

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