Delayed caroticocavernous fistula after stent-assisted coil embolization of intracavernous carotid aneurysm: should we manage conservatively?

被引：8

作者：

Chan, Huan Wee ^{[1
]}

Haliasos, Nikolaos ^{[1
]}

Derakhshani, Shahram ^{[1
]}

Vindlacheruvu, Raghu

Chawda, Sanjiv ^{[1
]}

机构：

[1] Queens Hosp, Romford RM7 0AG, Essex, England

来源：

ACTA NEUROCHIRURGICA | 2011年 / 153卷 / 06期

关键词：

Caroticocavernous fistula; Stent-assisted coil embolization; Cavernous carotid aneurysm; ARTERIOVENOUS-FISTULA; CAVERNOUS FISTULA; ANGIOPLASTY;

D O I：

10.1007/s00701-011-0968-7

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Constructive endovascular techniques remain the mainstay for the treatment of cavernous carotid aneurysms due to their efficacy. However, they do harbor risks of complications, such as thromboembolic events, arterial injuries, and vessel occlusions. A 58-year-old lady presented with delayed caroticocavernous fistula (CCF) 1 month after stent-assisted coil embolization of a cavernous carotid aneurysm (CCA). Following this, her caroticocavernous fistula resolved spontaneously with no further intervention. Our case demonstrates a unique presentation of a CCF as a delayed complication of stent-assisted coil embolization of CCA and the spontaneous resolution of the CCF. Symptomatic CCFs are commonly treated as an emergency in many institutions and the question arises as to whether we should adopt a conservative policy in the light of this case report.

引用

页码：1291 / 1295

页数：5

共 21 条

[1] Presentation and treatment of carotid cavernous aneuryms [J].