Management of a rare complication of endovascular treatment of direct carotid cavernous fistula.
A 30-year-old woman with direct carotid cavernous fistula underwent endovascular treatment with detachable balloons via a transarterial route. The patient returned with diplopia 1 year after therapy. On cranial MR imaging, one of the balloons was detected in the proximal portion of the superior ophthalmic vein and was deflated percutaneously with a 22-gauge Chiba needle under CT guidance. The patient's symptoms resolved after balloon deflation. This case report presents a unique complication of endovascular treatment of direct carotid cavernous fistula and its management.
Sencer
S
S
Department of Radiology, Istanbul Faculty of Medicine, Turkey.
Minareci
O
O
Poyanli
A
A
D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D019544:Equipment Failure Analysis; D005123:Eye / Q000098:blood supply*; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D019233:Retreatment; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D014680:Veins