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Venous drainage patterns in carotid cavernous fistulas

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40-10.1155-2014-760267.pdf (1.842Mb)
Date
2017-01-01
Author
ARALAŞMAK, AYŞE
KARAALİ, KAMİL
ÖZDEMİR, HÜSEYİN
ALKAN, ALPAY
TOPRAK, HÜSEYİN
SİNDEL, TİMUR
ŞENOL, UTKU
ÇEVİKOL, CAN
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Abstract
Purpose. The carotid-cavernous fistula (CCF) is an abnormal arteriovenous communication and its drainage pathways may affect the clinic presentation and change treatment approach. We evaluated drainage patterns of CCFs by digital subtraction angiography (DSA) and categorized drainage pathways according to their types and etiology. Materials and Methods. Venous drainage patterns of 13 CCFs from 10 subjects were studied and categorized as anterior, posterior, superior, inferior, and contralateral on DSA. Drainage patterns were correlated to types and etiology of CCFs. Diagnosis of CCFs was first made by noninvasive imaging techniques. Results. On DSA, traumatic CCFs were usually high flow, direct type while spontaneous CCFs were usually slow flow, indirect type. Bilaterality and mixed types were observed among the indirect spontaneous CCFs. In all CCFs, anterior and inferior drainages were the most common. Contrary to the literature, posterior and superior drainages were noted only in high flow and long standing direct fistulas. Contralateral drainage was not observed in all, supporting plausible compartmentalization of cavernous sinuses. Conclusion. Types, etiology, and duration of the CCFs may affect their drainage patterns. DSA is valuable for categorization of CCFs and verification of drainage patterns. Drainage pathways may affect the clinic presentation and also change treatment approach.
Subject
ARALAŞMAK A., KARAALİ K., ÇEVİKOL C., ŞENOL U., SİNDEL T., TOPRAK H., ÖZDEMİR H., ALKAN A., -Venous drainage patterns in carotid cavernous fistulas-, ISRN Radiolgy, cilt.30, ss.1-7, 2017
URI
https://hdl.handle.net/20.500.12645/2985
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BEZMIALEM VAKIF UNIVERSITY

About us |Policies | Library | Contact us | Send Feedback | Sitemap | Admin

Bezmialem Vakıf Üniversitesi, Adnan Menderes Bulvarı Vatan Caddesi 34093 Fatih, İstanbul / TURKEY
Copyright © Bezmialem Vakıf Üniversitesi

Creative Commons Lisansı
Bezmialem Institutional Repository, Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

OpenAccess@BVU

Support by  UNIREPOS