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U.S. National Library of Medicine

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Title: Endovascular treatment of a ruptured dual aperture cavernous aneurysm.
Author: Meyers PM, Halbach VV, Dowd CF, Lempert TE, Lefler JE, Malek AM, Phatouros CC, Higashida RT.
Journal: J Neuroimaging; 2001 Jan; 11(1):71-5. PubMed ID: 11198534.
Abstract:
The authors describe the diagnosis and endovascular management of a multiaperture, ruptured cavernous internal carotid artery aneurysm causing a carotid cavernous fistula (CCF) using both transarterial and transvenous techniques. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with multiple shunts has not been previously reported.

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