Traumatic carotid-cavernous fistula treated by combined transarterial and transvenous coil embolization and associated cavernous internal carotid artery dissection treated with stent placement. Case report.
The authors report on a case in which a carotid-cavernous fistula and an associated cavernous-carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial-transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.
Men
Süleyman
S
Department of Radiology, Dokuz Eylul University, Medical School, Inciralti, Izmir, Turkey. suleyman.men@deu.edu.tr
Oztürk
Halil
H
Hekimoğlu
Baki
B
Sekerci
Zeki
Z
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D016489:Head Injuries, Closed / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*