Balloon occlusion of a recurrent carotid-cavernous fistula previously treated by carotid ligations.
A carotid-cavernous fistula recurred 16 years after a Hamby procedure. The recurrence was manifested by subarachnoid hemorrhage originating from dilated draining pial veins. The fistula was closed with a balloon catheter introduced through a patent remnant of the cervical carotid artery. Patients who have previously undergone Hamby trapping and embolization should be reassessed for an occult fistula that could predispose them to intracranial bleeding.
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D008026:Ligation; D008297:Male; D012008:Recurrence; D012086:Reoperation