Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery.

Abstract

We describe a case of iatrogenic carotid injury with secondary carotid-cavernous fistula (CCF) treated with a silk flow diverter stent placed within the injured internal carotid artery and coils placed within the cavernous sinus. Flow diverters may offer a simple and potentially safe vessel-sparing option in this rare complication of transsphenoidal surgery. The management options are discussed and the relevant literature is reviewed.

• Authors: Daniela Iancu, Cheemum Lum, Muhammad E Ahmed, Rafael Glikstein, Marlise P Dos Santos, Howard Lesiuk, Mohamed Labib, Amin B Kassam
• Journal: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (Interv Neuroradiol) Vol. 21 Issue 3 Pg. 346-50 (Jun 2015) ISSN: 2385-2011 [Electronic] United States
• PMID: 26015526 (Publication Type: Case Reports, Journal Article)
• Copyright: © The Author(s) 2015.

Topics

• Carotid Artery Injuries (diagnostic imaging, therapy)
• Carotid Artery, Internal (diagnostic imaging)
• Cerebral Angiography
• Computed Tomography Angiography
• Embolization, Therapeutic (methods)
• Female
• Humans
• Iatrogenic Disease
• Middle Aged
• Sphenoid Bone (surgery)
• Stents