Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 2
Caroticocavernous Fistulas
Rıfat AKDAĞ1
1SBÜ Bursa Yüksek İhtisas Eğitim Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Bursa, Türkiye Caroticocavernous fistulas (CCFs) are abnormal arteriovenous anastomoses between the internal carotid artery and cavernous sinuses. CCFs present with two different clinical pictures as direct and indirect fistulas. Direct or high flow CCFs occur between the internal carotid artery and cavernous sinus; whereas, in indirect or low-flow fistulas, there are abnormal connections between the branches of the internal or external carotid arteries. Seventy-five percent of the cases are traumatic. When a direct CCF is confirmed, first-line treatment is endovascular intervention, which may be accomplished using detachable balloons, coils, liquid embolic agents, or a combination of these tools. Modern endovascular techniques offer the ability to successfully treat CCFs with low morbidity and virtually no mortality. Anahtar Kelimeler : Caroticocavernous fistulas, Internal carotid artery, Cavernous sinuses, Endovascular treatment