Treatment of post-traumatic carotid-cavernous fistulas using pipeline embolization device assistance.
This report describes two cases of post-traumatic, high flow carotid-cavernous fistulas that demonstrated residual shunting after initial embolization with coils and Onyx, and that were successfully closed with pipeline embolization devices. Following their combined endovascular treatments, the patients experienced clinical improvement of symptoms with durable obliteration of the fistulous communications.
Neurointerventional Associates, PA, St Petersburg, Florida, USA.
Nisha
N
Pradeep
Neurointerventional Associates, PA, St Petersburg, Florida, USA.
Robert
R
Nottingham
Neurointerventional Associates, PA, St Petersburg, Florida, USA.
Anthony
A
Kam
University of Maryland, Baltimore, Maryland, USA.
Dheeraj
D
Gandhi
Neurointerventional Associates, PA, St Petersburg, Florida, USA.
Nasser
N
Razack
D000058:Accidental Falls; D000328:Adult; D000792:Angiography; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004338:Drug Combinations; D004621:Embolization, Therapeutic / Q000379:methods*; D005151:Facial Injuries / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011145:Polyvinyls; D015607:Stents; D013635:Tantalum; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot; D055815:Young Adult
D004338:Drug Combinations; C558446:Onyx 18; D010975:Platelet Aggregation Inhibitors; D011145:Polyvinyls; D013635:Tantalum
CT Angiography; Fistula; Flow Diverter; Intervention; Liquid Embolic Material