{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:52:35Z","timestamp":1790639555867,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"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":["Neuroradiol J"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>To evaluate the single-centre experience with endovascular management of direct carotid-cavernous sinus fistulas (DCCF). Between November 2008 and November 2010, a total of 14 patients (11 males) with direct carotid-cavernous sinus fistula underwent 16 transarterial treatment sessions. The patient files and angiograms were analysed retrospectively. Clinical signs and symptoms included exophthalmos [n=12, (85.7%)], pulsatile tinnitus [n=9, (64.3%)], cranial nerve III or VI palsy [n=2, (14.3%)], and impaired vision [n=1, (7.1%)]. Angiography revealed in addition cortical drainage in five patients (35.7%). Transarterial embolization was performed using detachable balloon in nine sessions (56.2%), detachable coils in three sessions (18.8%) and a combination with Onyx in four sessions (25%). Complete interruption of the arteriovenous shunt was achieved in all patients. There was a tendency for ocular pressure-related symptoms to resolve rapidly, while cranial nerve palsy and diplopia improved slowly (7.1%) or did not change (7.1%). The patient with visual impairment recovered within the first two weeks after endovascular treatment. After complete interruption of the arteriovenous shunt, two (12.5%) recurrences were observed in balloon treatment and retreatment was given. Transarterial management is a highly efficient and safe treatment in DCCFs. In the majority of patients a significant and permanent improvement in clinical signs and symptoms can be achieved.<\/jats:p>","DOI":"10.1177\/197140091202500117","type":"journal-article","created":{"date-parts":[[2015,4,22]],"date-time":"2015-04-22T17:40:15Z","timestamp":1429724415000},"page":"130-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Endovascular Management of Direct Carotid-Cavernous Sinus Fistulas"],"prefix":"10.1177","volume":"25","author":[{"given":"X.","family":"Lv","sequence":"first","affiliation":[{"name":"Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University; Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Li","sequence":"additional","affiliation":[{"name":"Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University; Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Yang","sequence":"additional","affiliation":[{"name":"Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University; Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Jiang","sequence":"additional","affiliation":[{"name":"Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University; Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Wu","sequence":"additional","affiliation":[{"name":"Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University; Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,2,1]]},"reference":[{"key":"bibr1-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2010.06.008"},{"key":"bibr2-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2040"},{"key":"bibr3-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0b013e3181989fc0"},{"key":"bibr4-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2005.10.008"},{"key":"bibr5-197140091202500117","first-page":"3","volume":"4","author":"Iakovlev SB","year":"2008","journal-title":"Zh Vopr Neirokhir Im N N Burdenko."},{"key":"bibr6-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2009.02.026"},{"key":"bibr7-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1978.49.5.0635"},{"key":"bibr8-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1974.41.2.0125"},{"key":"bibr9-197140091202500117","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.153.3.577"},{"key":"bibr10-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198802000-00001"},{"key":"bibr11-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199502000-00001"},{"key":"bibr12-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1177\/15910199080140S204"},{"key":"bibr13-197140091202500117","first-page":"43","volume":"299","author":"Naesens R","year":"2006","journal-title":"Bull Soc Belge Ophtalmol."},{"key":"bibr14-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1981.55.5.0678"},{"key":"bibr15-197140091202500117","first-page":"602","volume":"6","author":"Graeb DA","year":"1985","journal-title":"Am J Neuroradiol."},{"key":"bibr16-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199209000-00026"},{"key":"bibr17-197140091202500117","first-page":"519","volume":"18","author":"Siniluoto T","year":"1997","journal-title":"Am J Neuroradiol."},{"key":"bibr18-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-006-0541-1"},{"key":"bibr19-197140091202500117","first-page":"1399","volume":"26","author":"Mor\u00f3n FE","year":"2005","journal-title":"Am J Neuroradiol."},{"key":"bibr20-197140091202500117","first-page":"1535","volume":"27","author":"Luo CB","year":"2006","journal-title":"Am J Neuroradiol."},{"key":"bibr21-197140091202500117","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2008.04.016"},{"key":"bibr22-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3171\/2009.6.JNS09440"},{"key":"bibr23-197140091202500117","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2009"}],"container-title":["The Neuroradiology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/197140091202500117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/197140091202500117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:30:23Z","timestamp":1777588223000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/197140091202500117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,2]]}},"alternative-id":["10.1177\/197140091202500117"],"URL":"https:\/\/doi.org\/10.1177\/197140091202500117","relation":{},"ISSN":["1971-4009","2385-1996"],"issn-type":[{"value":"1971-4009","type":"print"},{"value":"2385-1996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2]]}}}