Learn about Carotid Cavernous Fistula Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Carotid Cavernous Fistula and request assistance for cost estimates or appointments.

About Carotid Cavernous Fistula

A carotid cavernous fistula (CCF) is an abnormal connection between the carotid artery and the cavernous sinus, a venous structure behind the eye. Neurosurgical treatment, primarily via endovascular embolization, is the gold standard. This minimally invasive procedure involves threading a catheter through the blood vessels to the fistula site, where specialized coils, glue, or stents are deployed to block the abnormal blood flow and restore normal circulation. It is a highly precise technique that effectively resolves symptoms like eye bulging, vision loss, and severe headaches while preserving neurological function. This procedure is critical for preventing long-term complications such as stroke, blindness, or fatal hemorrhage.

Key Highlights

    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.
  • checked Typical hospital stay: 1-2 days
  • checked 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.

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.

Country Estimated cost range Typical stay Recovery time View details
India INR 250 Thousand – 600 Thousand 1-2 days ~ 2-3 weeks Know More
Turkey TRY 875 Thousand – 2.1 Million 1-2 days ~ 2-3 weeks Know More

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.

  • Star
  • Star
  • Star
  • Star
  • Star
79+ Rating

Kamineni Hospital LB Nagar

  • IconHyderabad, India
  • Icon67 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
3363+ Rating

Kamineni Hospital, King Koti

  • IconHyderabad, India
  • Icon20 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
43+ Rating

Manipal Hospital Dhakuria

  • IconKolkata, India
  • Icon200 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
1681+ Rating

Manipal Hospital Dwarka

  • IconDelhi, India
  • Icon73 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
121+ Rating

Manipal Hospital Ghaziabad

  • IconGhaziabad, India
  • Icon43 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
150+ Rating

Cytecare Hospital

  • IconBangalore, India
  • Icon48 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
15+ Rating

SIMS Hospital Vadapalani

  • IconChennai, India
  • Icon71 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
  • Icon205 Doctors
PATIENT REVIEW

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.

Dr. Paraneetharan M
  • 18 Years Experience
  • Neurosurgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Harisha P N
  • 22 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Anmol Nagaraj
  • 13 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Lakshman I Kongwad
  • 10 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Harish
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vybhav Raghu
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Veeresha U Mathad
  • 11 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Ajay Hegde
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Abhishek H R
  • 8 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Harsha Hegde
  • 8 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Paritosh Pandey
  • 21 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Bopanna KM
  • 29 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Paritosh Pandey
  • 21 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Sathwik R Shetty
  • 19 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Praveen Ganigi
  • 20 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Arun Bhandari
  • 17 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Jaskaran Singh
  • 13 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Maqsood Ahmed Abdul Rahman
  • 17 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Sudheer Kumar Gundamaneni
  • 15 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Vuppu Ravi Kanth
  • 14 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated