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Journal of Korean Neurosurgical Society 1992;21(9): 1203-1207.
Direct Microsurgical Repair of Traumatic Carotid-Cavernous Fistula.
Dal Soo Kim, Chul Ku Jung, Joon Ki Kang, Jin Un Song, Chang Rak Choi
Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
ABSTRACT
The case of a 55-year-old male developed high flow carotid-cavernous fistula(ccF) after head trauma was successfully treated by a direct microsurgical approach to the cavernous sinus. The cavernous sinus was approached through Dolenc's anteromedial and paramedical triangle by a combined extradural and subdural route. A single tear in the wall of horizontal segment of the cavernous carotid artery was obliterated using Sugita clip while temporary clips were placed on the supraclinoid and the petrous portion of the internal carotid artery.
Key Words: Carotid-cavernous fistula; Carotid artery; Cavernous sinus, direct clipping
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