Inject outline in CCF

The simplest way to inject outline in CCF

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How to inject outline in CCF

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What is the imaging of the carotid cavernous fistula?

CTA/MRA: CTA and MRA are often used as first-line noninvasive imaging modalities to evaluate CCFs (Figure 4). CTA and MRA will identify the majority of arterial dissections and cavernous ICA aneurysms causing a CCF as well as enlargement of the affected CS.

How to rule out CCF?

Patients suspected of having a CCF eventually undergo noninvasive imaging such as a standard CT (computed tomography) or MRI (magnetic resonance imaging) scan which can show a dilated SOV, orbital congestion, or enlargement of the extraocular muscles.

What is a CCF in the brain?

A carotid-cavernous fistula (CCF) is the result of an abnormal vascular connection between the internal carotid artery (ICA) or external carotid artery (ECA) and the venous channels of the cavernous sinus. CCFs are classified based on the arterial system involved, hemodynamics, and etiology.

What is the triad of CCF?

Direct CCF often occurs days or weeks after a closed head injury. Patients present with the classic triad of chemosis (red eye syndrome), pulsatile exophthalmos (abnormal protrusion of the eyeball), and ocular bruit (blood flow sounds coming from the eye).

What is the investigation of choice for a carotid bruit?

Commonly, imaging studies such as carotid duplex ultrasound computed tomography angiography (CTA) and magnetic resonance angiography (MRA) of the neck help confirm the diagnosis and provide anatomical layout if a surgical invention is warranted.

What is the treatment of choice for a carotid cavernous fistula?

Endovascular intervention is the first-line treatment of CCFs. For direct, high-flow CCFs, the transarterial route is preferred. Surgical options include suturing or clipping the fistula, packing the cavernous sinus, or ligating the ICA.

What is the investigation of choice for a colovesicular fistula?

The first and best test is a CT scan with oral or rectal contrast without IV contrast (greater than 90% accurate) [1]. This will show contrast or air in the bladder with colonic and vesicular wall thickening. It may not show the actual fistula tract but accurately predicts the location.

What is the investigation of choice for a carotid cavernous fistula?

Direct carotid-cavernous sinus fistulae Computed tomography (CT) scan, magnetic resonance imaging (MRI), and orbital echography often help to confirm the diagnosis, demonstrating extraocular muscle enlargement, dilation of one or both superior ophthalmic veins, and enlargement of the affected cavernous sinus.

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