About Carotid Cavernous Fistula
Key Highlights
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Minimally invasive endovascular approach with no open brain surgery required.Highly effective in immediately stopping abnormal blood flow and relieving symptoms.Precision targeting helps preserve normal brain and eye function.Significantly reduces the risk of stroke, vision loss, and fatal hemorrhage.Typically involves a shorter hospital stay and faster recovery compared to open surgery.
Who is this surgery for?
- Progressive vision loss or double vision (diplopia).
- Proptosis (bulging eye) with conjunctival redness and swelling.
- Severe, pulsatile headache or a whooshing sound in the head (pulsatile tinnitus).
- Neurological deficits or signs of increased pressure in the eye.
- Risk of life-threatening complications like major hemorrhage or stroke.
- Fistulas that do not close spontaneously or with conservative management.
How to prepare
- Comprehensive diagnostic imaging, including cerebral angiography (DSA), MRI, or CTA, to map the fistula.
- Complete neurological and ophthalmological evaluation to assess baseline function.
- Review of all medications; may need to stop blood thinners several days prior.
- Pre-operative blood tests and cardiac evaluation to ensure fitness for the procedure.
- Fasting for 6-8 hours before the procedure as per anesthesia guidelines.
- Detailed discussion with the neurosurgeon about the procedure, risks, and expected outcomes.
Risks & possible complications
- Stroke or transient ischemic attack (TIA) from vessel injury or clot.
- Bleeding or hematoma at the catheter insertion site in the groin.
- Infection, though rare with sterile technique.
- Damage to nearby cranial nerves, potentially affecting eye movement or vision.
- Incomplete closure of the fistula, requiring a repeat procedure.
- Allergic reaction to contrast dye used during angiography.
- Rare risk of vessel rupture or creation of a new fistula.
Recovery & hospital stay
- Initial monitoring for 4-6 hours in a recovery area, with pressure on the groin site to prevent bleeding.
- Hospital stay typically required for 1-2 days for neurological observation.
- Instructions to avoid strenuous activity, heavy lifting, and bending for 1-2 weeks.
- Gradual return to normal activities; most patients resume work within 2-3 weeks.
- Follow-up appointments for clinical assessment and imaging to confirm fistula closure.
- Immediate reporting of any new headaches, vision changes, or neurological symptoms.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-3 weeks
Frequently Asked Questions
If you are considering carotid cavernous fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for carotid cavernous fistula in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform carotid cavernous fistula. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for carotid cavernous fistula compare across other countries where we have data.
Top hospitals for Carotid Cavernous Fistula in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing carotid cavernous fistula.
Aarav Williams, 42, is a graphic...
Aarav Williams, 42, is a graphic designer and father of two young children. He was previously healthy but began experiencing a persistent, pulsating 'whooshing' sound in his right ear, constant headaches, and a noticeable redness and bulging in his right eye. His vision became blurry, and he felt constant pressure behind that eye. After seeing his primary doctor and an ophthalmologist, a CT angiogram revealed a Carotid Cavernous Fistula (CCF), likely caused by a minor, forgotten head injury from a biking accident months prior. His neurosurgeon, Dr. Chen, explained that the abnormal connection between an artery and the venous sinus behind his eye was causing the symptoms and risked permanent vision loss or stroke. She recommended an endovascular embolization procedure to seal the fistula. During the minimally invasive procedure, Aarav was awake but sedated. A catheter was threaded from his groin to the fistula in his skull, where tiny coils and a special glue were placed to block the abnormal flow. The 'whooshing' sound stopped immediately on the table. Post-procedure, he spent one night in the hospital for observation. The eye redness and bulging subsided over the next week, and his vision gradually cleared. A follow-up angiogram confirmed the fistula was completely closed. Emotionally, Aarav was terrified by the sudden threat to his vision and the sound he couldn't escape, fearing he wouldn't be able to work or see his kids grow. After the successful procedure, he felt profound relief and gratitude. The silence was beautiful, and he regained a deep appreciation for his health, becoming an advocate for helmet safety.
Neurosurgeons for Carotid Cavernous Fistula
Explore experienced neurosurgeons who regularly perform carotid cavernous fistula and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada