Transarterial coil embolization of a carotid-cavernous fistula which occurred during stent angioplasty.
Intracranial endovascular procedures are less invasive and relatively safe; however, these procedures do carry a risk of complications, such as thromboembolization, arterial injury, and vessel occlusion. We present a case of carotid-cavernous fistula development secondary to injury of the cavernous segment of the internal carotid artery (ICA) during stent angioplasty and its treatment by transarterial coil embolization. Probable causes of this complication and its treatment method are discussed. To the best of our knowledge, this is the first report of such a case.
Yoon
Won Ki
WK
Department of Neurosurgery, Holy Family Hospital, The Catholic University of Korea, Seoul, Korea.
Kim
Young Woo
YW
Kim
Seong Rhim
SR
Park
Ik Seong
IS
Kim
Sang Don
SD
Baik
Min Woo
MW
D000369:Aged, 80 and over; D017130:Angioplasty / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging; D020212:Carotid Artery Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000502:physiology; D002560:Cerebrovascular Circulation / Q000502:physiology; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D007431:Intraoperative Complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology; D019736:Prostheses and Implants / Q000639:trends; D015607:Stents / Q000009:adverse effects; D020521:Stroke / Q000209:etiology / Q000473:pathology / Q000628:therapy; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome