Carotid cavernous fistula: direct repair with preservation of the carotid artery

Technical note

Dwight Parkinson M.D. 1
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  • 1 Department of Neurosurgery, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
DOI link:
https://doi.org/10.3171/jns.1973.38.1.0099
Online Publication Date:
Jan 1973
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✓ The techniques and advantages of the direct approach to carotid cavernous fistulas with repair of the fistula and preservation of the carotid artery are discussed with illustrative case reports. The surgical significance of the anatomy of the parasellar venous structures and their relationship to the carotid artery are discussed. Two points emphasized are that it is possible to operate within the cavernous sinus and still be outside both the venous and arterial components of the fistula, and that, by one means or another, the carotid should be preserved.

Volume 38: Issue 1 (Jan 1973)

in Journal of Neurosurgery
Cover Journal of Neurosurgery

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Contributor Notes

Address reprint requests to: Dwight Parkinson, M.D., 418 Medical Arts Building, Winnipeg, Manitoba, Canada.
  • 1.

    Hamby WB: Carotid Cavernous Fistulae. Springfield, Ill, Charles C Thomas, 1966 Hamby WB: Carotid Cavernous Fistulae. Springfield, Ill, Charles C Thomas, 1966

    • Search Google Scholar
    • Export Citation
  • 2.

    Hayes GJ: Carotid cavernous fistulas: diagnosis and surgical management. Amer Surg 24:839–843, 1958 Hayes GJ: Carotid cavernous fistulas: diagnosis and surgical management. Amer Surg 24:839–843, 1958

    • Search Google Scholar
    • Export Citation
  • 3.

    Holman E: The physiology of an arteriovenous fistula. Arch Surg 7:64–82, 1923 Holman E: The physiology of an arteriovenous fistula. Arch Surg 7:64–82, 1923

    • Search Google Scholar
    • Export Citation
  • 4.

    Hunter W: Quoted by Hamby WB, ref 1 Hunter W: Quoted by Hamby WB, ref 1
  • 5.

    Parkinson D: Anatomy of the “cavernous sinus,” in Smith JL (ed): Neuro-Ophthalmology (To be published) Parkinson D: Anatomy of the “cavernous sinus,” in Smith JL (ed): Neuro-Ophthalmology (To be published)

    • Search Google Scholar
    • Export Citation
  • 6.

    Parkinson D: Collateral circulation of cavernous carotid artery: anatomy. Canad J Surg 7:251–268, 1964 Parkinson D: Collateral circulation of cavernous carotid artery: anatomy. Canad J Surg 7:251–268, 1964

    • Search Google Scholar
    • Export Citation
  • 7.

    Parkinson D: Rapid serial simultaneous bi-plane stereoscopic angiography; an aid in the surgical management of the cerebral arteriovenous malformations. Clin Neurosurg 16:170–184, 1969 Parkinson D: Rapid serial simultaneous bi-plane stereoscopic angiography; an aid in the surgical management of the cerebral arteriovenous malformations. Clin Neurosurg 16:170–184, 1969

    • Search Google Scholar
    • Export Citation
  • 8.

    Parkinson D: A surgical approach to the cavernous portion of the carotid artery: anatomical studies and case report. J Neurosurg 23:474–483, 1965 Parkinson D: A surgical approach to the cavernous portion of the carotid artery: anatomical studies and case report. J Neurosurg 23:474–483, 1965

    • Search Google Scholar
    • Export Citation
  • 9.

    Parkinson D: Transcavernous repair of carotid cavernous fistula: case report. J Neurosurg 26:420–424, 1967 Parkinson D: Transcavernous repair of carotid cavernous fistula: case report. J Neurosurg 26:420–424, 1967

    • Search Google Scholar
    • Export Citation
  • 10.

    Parkinson D, , MacPherson RA, & Childe AE, et al: Routine simultaneous bi-plane stereoscopic angiography. J Canad Ass Radiol 18:371–376, 1967 Parkinson D, MacPherson RA, Childe AE, et al: Routine simultaneous bi-plane stereoscopic angiography. J Canad Ass Radiol 18:371–376, 1967

    • Search Google Scholar
    • Export Citation
  • 11.

    Patterson RH Jr, & Ray BS: Profound hypothermia for intracranial surgery using a disposable bubble oxygenator. J Neurosurg 23:184–190, 1965 Patterson RH Jr, Ray BS: Profound hypothermia for intracranial surgery using a disposable bubble oxygenator. J Neurosurg 23:184–190, 1965

    • Search Google Scholar
    • Export Citation
  • 12.

    Prolo DJ, & Hanbery JW: Intraluminal occlusion of a carotid-cavernous sinus fistula with a balloon catheter: technical note. J Neurosurg 35:237–242, 1971 Prolo DJ, Hanbery JW: Intraluminal occlusion of a carotid-cavernous sinus fistula with a balloon catheter: technical note. J Neurosurg 35:237–242, 1971

    • Search Google Scholar
    • Export Citation
  • 13.

    Schnürer L-B, & Stattin S: Vascular supply of intracranial dura from internal carotid artery with special reference to its angiographic significance. Acta Radiol [Diagn] (Stockholm) 1:441–450, 1963 Schnürer L-B, Stattin S: Vascular supply of intracranial dura from internal carotid artery with special reference to its angiographic significance. Acta Radiol [Diagn] (Stockholm) 1:441–450, 1963

    • Search Google Scholar
    • Export Citation
  • 14.

    Sealey WC, , Brown IW Jr, & Young WG Jr: A report on the use of both extracorporeal circulation and hypothermia for open heart surgery. Ann Surg 147:603–613, 1958 Sealey WC, Brown IW Jr, Young WG Jr: A report on the use of both extracorporeal circulation and hypothermia for open heart surgery. Ann Surg 147:603–613, 1958

    • Search Google Scholar
    • Export Citation
  • 15.

    Serbinenko FA: Balloon occlusion of a cavernous portion of the carotid artery as a method of treating carotid-cavitary anastomoses. Problems of Neurosurgery 6:3–8, 1971 (Rus) Serbinenko FA: Balloon occlusion of a cavernous portion of the carotid artery as a method of treating carotid-cavitary anastomoses. Problems of Neurosurgery 6:3–8, 1971 (Rus)

    • Search Google Scholar
    • Export Citation
  • 16.

    Serbinenko FA: Catheterization and occlusion of major cerebral vessels and prospects for the development of vascular neurosurgery. Problems of Neurosurgery 5:17–26, 1971 (Rus) Serbinenko FA: Catheterization and occlusion of major cerebral vessels and prospects for the development of vascular neurosurgery. Problems of Neurosurgery 5:17–26, 1971 (Rus)

    • Search Google Scholar
    • Export Citation
  • 17.

    Serbinenko FA: Personal communication, September 1971 Serbinenko FA: Personal communication, September 1971
  • 18.

    Taniguchi RM, , Gorre JA, & Odom GL: Spontaneous carotid-cavernous shunts presenting diagnostic problems. J Neurosurg 35:384–391, 1971 Taniguchi RM, Gorre JA, Odom GL: Spontaneous carotid-cavernous shunts presenting diagnostic problems. J Neurosurg 35:384–391, 1971

    • Search Google Scholar
    • Export Citation
  • 19.

    Taptas JN: Étiology et pathogénie des exophtalmies d' origine vasculaire dites exophtalmies pulsatiles. Arch d'Ophtal 10:22–50, 1950 Taptas JN: Étiology et pathogénie des exophtalmies d' origine vasculaire dites exophtalmies pulsatiles. Arch d'Ophtal 10:22–50, 1950

    • Search Google Scholar
    • Export Citation
  • 20.

    Techniques, Tales of tubes. MD Canada 12:135–137, 1971 Techniques, Tales of tubes. MD Canada 12:135–137, 1971
  • 21.

    Travers B: Quoted by Hamby WB, ref 1 Travers B: Quoted by Hamby WB, ref 1
  • 22.

    Treiman RL, , Cohen JL, & Gaspard DJ, et al: Early surgical repair of acute post-traumatic arteriovenous fistulas. Arch Surg 102:559–561, 1971 Treiman RL, Cohen JL, Gaspard DJ, et al: Early surgical repair of acute post-traumatic arteriovenous fistulas. Arch Surg 102:559–561, 1971

    • Search Google Scholar
    • Export Citation
  • 23.

    Uihlein A, , Terry HR Jr, & Payne WS, et al: Operations on intracranial aneurysms with induced hypothermia below 15°C and total circulatory arrest. J Neurosurg 19:237–239, 1962 Uihlein A, Terry HR Jr, Payne WS, et al: Operations on intracranial aneurysms with induced hypothermia below 15°C and total circulatory arrest. J Neurosurg 19:237–239, 1962

    • Search Google Scholar
    • Export Citation

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