Stent-assisted Guglielmi detachable coils embolisation for the treatment of a traumatic carotid cavernous fistula.
Embolisation of a carotid cavernous fistula by means of a detachable balloon is a well-established method for treating carotid cavernous fistulas while preserving a patent internal carotid artery. However, failure to embolise the carotid cavernous fistula may occur. Herein we describe a stent-assisted Guglielmi detachable coil embolisation that completely occludes the fistulous opening rather than fills the cavernous sinus. By applying this technique, we successfully treated a carotid cavernous fistula, without compromise of the parent internal carotid artery when the balloon technique failed.
Ahn
Jung Yong
JY
Department of Neurosurgery, Pundang CHA Hospital, Pochon University of Medical College, Sungnam, Republic of Korea. jyahn@cha.ac.kr
Lee
Byung-Hee
BH
Joo
Jin Yang
JY
D015901:Angiography, Digital Subtraction; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents