Document Detail

Angiographic follow-up of traumatic carotid cavernous fistulas treated with endovascular stent graft placement.
MedLine Citation:
PMID:  17297009     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Endovascular treatment (EVT) of carotid cavernous fistulas (CCFs) is based on various techniques, mainly those using detachable balloons. Coronary covered stent grafts have been sporadically used in the intracranial arteries and only 2 traumatic CCFs have been reported in the literature; moreover, there is poor information about the long-term follow-up. We present 8 cases of CCFs treated by the placement of a covered stent, 5 of which have a 1-year clinical and angiographic follow-up. METHODS: Eight patients with posttraumatic CCF were treated by positioning a covered stent in the intracranial internal carotid artery (ICA) to occlude the fistula. They received periodic clinical and angiographic follow-up to evaluate the patency and the stability of clinical results. RESULTS: In all cases, the symptoms related to the CCF regressed after treatment and did not recur in the follow-up. Two patients presented residual filling of the CCF at the end of the procedure. The angiographic follow-up revealed in 6 patients of 7 a good patency of the ICA; in 1 patient, there was an ICA asymptomatic occlusion. One patient required transvenous coil occlusion of the cavernous sinus. CONCLUSION: When standard treatments fail, covered stent grafts can be used as a valid alternative in the treatment of CCFs, but more data are needed, especially in the long-term follow-up.
E Archondakis; G Pero; L Valvassori; E Boccardi; G Scialfa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  28     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-13     Completed Date:  2007-04-03     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  342-7     Citation Subset:  IM    
Servizio di Neuroradiologia, Ospedale Niguarda Ca' Granda, Milan, Italy.
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MeSH Terms
Blood Vessel Prosthesis
Carotid Artery Injuries / radiography*,  therapy*
Carotid-Cavernous Sinus Fistula / radiography*,  therapy*
Cerebral Angiography*
Coated Materials, Biocompatible
Follow-Up Studies
Middle Aged
Reg. No./Substance:
0/Coated Materials, Biocompatible

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