A case report of endovascular embolization of traumatic persistent trigeminal artery-cavernous sinus fistula via the transarterial approach
LIU Hua-ting
MIAO Peng
WANG Jia-qing
YUAN Yuan
Abstract：Traumatic persistent trigeminal artery (PTA) cavernous sinus fistula (CSF) is a relatively rare condition. This case report describes a 36-year-old female patient with traumatic PTA-CSF,classified as Barrow type B and Lizuka mature type. The fistula was successfully embolized via the transarterial approach using coils and Onyx-18 glue,while preserving the integrity of the internal carotid artery and basilar artery. Immediate postoperative resolution of symptoms was observed,and no recurrence was noted during the 3-month follow-up. Therefore,for mature-type traumatic PTA-CSF,even if the PTA is occluded during the procedure,the risk of postoperative ischemic complications remains relatively low. Endovascular embolization therapy is a safe and effective treatment modality that can achieve satisfactory radiological and clinical outcomes.
Keywords：Traumatic persistent trigeminal artery (PTA) cavernous sinus fistula (CSF)Endovascular embolizationEfficacy
Publication Date：2024-09-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 572-573 )