Usefulness of Intravascular Ultrasonography Monitoring of Coil Embolization for Traumatic Direct Carotid-Cavernous Fistula : Case Report
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概要
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A 61-year-old woman was admitted for head injury after a traffic accident. Two months later, she developed abducens nerve palsy, chemosis, and pulsatile tinnitus. Right internal carotid angiography demonstrated a high flow direct carotid-cavernous fistula (CCF) at the C5 portion with reflux into the superficial and deep sylvian veins, superior ophthalmic vein, superior petrosal sinus, and inferior petrosal sinus. Intravascular ultrasonography (IVUS) revealed a large fistula at the C5 portion of the internal carotid artery (ICA). Coil embolization via transarterial and transvenous approaches under IVUS monitoring was performed. During the procedure, IVUS accurately detected protrusion of a coil into the parent ICA, and the parent artery could be preserved. IVUS monitoring is useful for embolization of direct CCF with coils.
- 2009-12-15
著者
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OHATA Kenji
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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NISHIO Akimasa
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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KAWAKAMI Taichiro
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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MITSUHASHI Yutaka
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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HAYASAKI Koji
Department of Neurosurgery, Saiseikai Ibaraki Hospital
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KIYAMA Miki
Department of Neurosurgery, Ouekai Katsuragi Hospital
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TADA Yuichi
Department of Neurosurgery, Ouekai Katsuragi Hospital
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Ohata Kenji
大阪市立大学 医学研究科脳神経外科学
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Nishio Akimasa
大阪市立大学 医学研究科脳神経外科学
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Nishio Akimasa
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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Tada Yuichi
Department Of Neurosurgery Ouekai Katsuragi Hospital
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Kiyama Miki
Department Of Neurosurgery Ouekai Katsuragi Hospital
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Hayasaki Koji
Department Of Neurosurgery Saiseikai Ibaraki Hospital
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Hayasaki Koji
Department Of Neurosurgery Hayashi Hospital:department Of Neurosurgery Tsukazaki Hospital
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Ohata Kenji
Department Of Neurosurgery Graduate School Of Medicine Osaka City University
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Mitsuhashi Yutaka
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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Kawakami Taichiro
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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