Javed Khader Eliyas on Muck Rack

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Combined surgical and endovascular approach to treat a carotid cavernous fistula with associated brainstem venous congestion

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By Sandeep Muram, Javed Khader Eliyas, Muneer Eesa, Alim P Mitha
| bmj.com
Endovascular embolization is the standard approach for management of carotid cavernous fistulas (CCFs) due to the ease of access and reduced level of risk associated with the procedure compared with open surgery. We present here a case of a CCF that eventually led to the development of brainstem venous congestion from perimedullary venous drainage. This fistula was not amenable to endovascular embolization due to lack of either ophthalmic vein or petrosal sinus drainage.
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