Patch technique using flow diverters effective in treating direct carotid-cavernous fistula symptoms
A recent study published in the Journal of Neuro-Ophthalmology has concluded that employing the patch technique with progressively expanding flow diverters is a practical solo approach for treating direct carotid-cavernous fistulas symptoms, achieving immediate CVR resolution, and preserving cavernous sinus anatomy.
Previously, the employment of flow diverters (FDs) in managing high-flow Type-A carotid-cavernous fistulas (CCFs) has primarily been documented as an adjunctive method to conventional endovascular approaches rather than a standalone treatment option.
In the present study, researchers retrospectively evaluated their experience with FDs as the solo nonadjunctive treatment of Type A CCF with severe cortical venous reflux (CVR).
A retrospective analysis was conducted on patients with Type A cerebral cavernous malformations (CCFs) treated using the FDs' patch technique (PT). The patients' demographic information, clinical details, and preoperative and postoperative eye examinations were documented. The procedure technique, the diameter of the Pipeline Embolization Device (PED), and immediate and long-term procedure results were summarized.
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