{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:11:10Z","timestamp":1790831470168,"version":"4.1.0"},"reference-count":6,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>Bilateral carotid-cavernous fistula (CCF) is a rare complication associated with severe head injury and skull base fractures. Initial presentation with hemodynamically relevant epistaxis is unusual. We report a case of a 27-year-old male presenting with severe craniocerebral injury associated with massive epistaxis. To stabilize the patient hemodynamically, the bleeding was stopped by embolization of left internal carotid artery with coils, after checking that the Willis circle is well compensated. The left CCF was embolized later with flow diverter stent when it was safe to use platelet aggregation inhibitors. Reporting this case enlighten the management of bilateral CCF with hemorrhagic shock.<\/jats:p>","DOI":"10.1177\/15910199221145472","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T04:52:54Z","timestamp":1670820774000},"page":"130-133","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral carotid-cavernous fistula after trauma presenting as hemorrhagic shock: Case report"],"prefix":"10.1177","volume":"32","author":[{"given":"Jessica","family":"Cateura","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Surgical and Trauma Intensive Care Unit, Reims University Hospital, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maher","family":"Sahnoun","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Reims University Hospital, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Marlier","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Reims University Hospital, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Pierot","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Reims University Hospital, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2701-0888","authenticated-orcid":false,"given":"Vincent","family":"Legros","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Surgical and Trauma Intensive Care Unit, Reims University Hospital, Reims, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Kohli GS Patel BC. 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