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CCF Type A Coil embolization

Middle aged man presented with swelling and redness of right eye 6 weeks after road traffic accident.
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Right Carotid Angiogram AP view showing TYPE A CCF ( Direct communication of right cavernous ICA  and Cavernous sinus due to tear caused by shearing stress of road traffic accident) and venous drainage to left side also.
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Right Carotid Angiogram Lateral view showing TYPE A CCF and posterior venous drainage into inferior petrosal sinus.
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Lateral view of Rt carotid angiogram shows anterior venous drainage into superior opthalmic vein.
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Coil embolization - 1st coil
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AP view of skull showing coil mass
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Lateral view of skull showing coil mass
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AP view of Rt carotid angiogram showing complete obliteartion of CCF  as coils are occluding the rent in the artery.
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Lateral view of Rt Carotid angiogram shows complete obliteartion of CCF  due to coil mass.

 

 

 We acknowledge the help of Dr Uday Limaye, Mumbai in performing this procedure .

 

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