So, you have three options. Two are frustrating. One works. Plug the card in. Run Windows Update. Look for "Optional Updates."
This is the story of why that happens, and the dark arts required to fix it. To understand the driver hell, you have to understand the silicon. The CT4810 isn't a "true" Sound Blaster in the legacy DOS sense. It is actually an Ensoniq ES1371 chip. Creative Labs acquired Ensoniq in 1998, and suddenly, a million OEM PCs shipped with these cheap, surprisingly good PCI audio solutions.
No official drivers exist. Use community-patched ES1371 drivers for Vista x64 in test mode, or accept that Windows 7 x64 and the CT4810 are star-crossed lovers. Buy a USB sound card for sanity, or keep the CT4810 for the soul.
Let me be clear:
The CT4810 has a distinct warmth. The Ensoniq DSP handles wave audio with a soft low-end roll-off that modern DACs (Digital to Analog Converters) erase for "clarity." Playing Unreal Tournament '99 or Deus Ex through a CT4810 on a CRT monitor feels right .
There is a specific kind of digital purgatory reserved for retro PC enthusiasts. It is not the purgatory of dead capacitors or rusty cases. It is the purgatory of the driver signature .