Percutaneous transluminal angioplasty as an adjunct to treat the carotid-cavernous fistula.
We report a case of the direct carotid-cavernous fistula (CCF) with high-grade stenosis of the internal carotid artery (ICA) and treatment via the transarterial route after percutaneous transluminal angioplasty (PTA). A 46-year-old man was found to have a CCF after a motorcycle accident. Transarterial embolization was attempted, but it failed due to stenosis of the left cervical ICA. After the procedure of PTA for dilatation of the stenotic ICA, the fistula was successfully obliterated by detachable balloon subsequently. There were no complications or recurrence of the fistula at the three-year clinical follow up.
Luo
C B
CB
Department of Radiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan. cbluo@vghtpe.gov.tw
Chang
F C
FC
Teng
M M
MM
Lirrng
J F
JF
Chen
S S
SS
D000800:Angioplasty, Balloon; D020216:Carotid-Cavernous Sinus Fistula / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged