Document Detail


Endovascular treatment of a traumatic direct carotid-cavernous fistula using the Amplatzer Vascular Plug II.
MedLine Citation:
PMID:  20681777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the use of the second-generation Amplatzer Vascular Plug II (AVP II) for the treatment of a posttraumatic type A carotid-cavernous fistula (CCF).
TECHNIQUE: To achieve complete treatment of a CCF, the decision was taken to occlude the parent carotid artery after angiographic assessment. A 6-mm AVP II was deployed in the petrous segment of the ICA. Post-deployment angiography revealed minimal residual flow, so a first-generation AVP I was also deployed. Immediate flow cessation was achieved, without residual proximal or distal inflow from the contralateral side to the fistula. At 8 months, the size of the right cavernous sinus had significantly reduced, with complete occlusion of the ICA and no residual flow in the fistula.
CONCLUSION: The AVP II may be a useful complementary device in the neurointerventional armamentarium for parent artery occlusion.
Authors:
Pasquale Mordasini; Gerhard Schroth; Caspar Brekenfeld; Christian Fung; Hanno Hoppe; Jan Gralla
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  17     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  564-8     Citation Subset:  IM    
Affiliation:
Institute of Diagnostic and Interventional Neuroradiology, University Hospital Inselspital Bern, Switzerland. jan.gralla@insel.ch
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic*
Adult
Angiography, Digital Subtraction
Carotid-Cavernous Sinus Fistula / diagnosis,  etiology,  physiopathology,  therapy*
Catheterization / instrumentation*
Cerebral Angiography
Equipment Design
Humans
Magnetic Resonance Angiography
Male
Regional Blood Flow
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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