Robotic-guided direct transtemporal embolization of an indirect carotid cavernous fistula

A middle-aged patient presented with right-sided chemosis, exophthalmos, and progressive visual loss. Digital subtraction angiography revealed a type D carotid-cavernous fistula (CCF). Transarterial embolization through the internal maxillary artery was unsuccessful, and there was no venous access to the CCF. A robotic-guided direct transtemporal embolization of the CCF with Onyx was performed, resulting in successful fistula obliteration and symptom resolution. This is the first reported case of a robotic-guided direct transcranial CCF embolization. We include a technical video that demonstrates this procedure (Supplemental File 1)

Source: Journal of NeuroInterventional Surgery - October 12, 2023 Category: Neurosurgery Authors: Karas, P. J., Lee, J. E., Frank, T. S., Morden, F. T., Shaltoni, H., Kan, P. Tags: New devices New devices and techniques Source Type: research