Barrow Classification (Carotid-Cavernous Fistula)

The Barrow classification of carotid-cavernous fistula (CCF), by the arterial supply and flow, types A/B/C/D.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Barrow type
A - direct ICA-to-cavernous-sinus shunt (high-flow)

Result: Barrow type A: direct high-flow shunt between the internal carotid artery and the cavernous sinus.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Type A
Direct high-flow ICA-to-cavernous-sinus shunt (often traumatic).
Type B
Dural shunt from ICA meningeal branches.
Type C
Dural shunt from ECA meningeal branches.
Type D
Dural shunt from both ICA and ECA meningeal branches.

What you enter

  • Barrow type
How this is calculated

Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg. 1985;62(2):248-256. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.