Document Detail

Intracranial stent placement for the treatment of a carotid-cavernous fistula associated with intracranial angioplasty. Case report.
MedLine Citation:
PMID:  12744375     Owner:  NLM     Status:  MEDLINE    
The authors report a case of an iatrogenic carotid-cavernous fistula (CCF) associated with intracranial angioplasty. Angioplasty was performed using a 3 x 10-mm Open Sail coronary balloon in a patient with high-grade stenosis of the left cavernous internal carotid artery (ICA). After angioplasty, a perforation developed in the cavernous ICA, resulting in a CCF. A 3.5 x 9-mm S670 coronary stent was used to treat the fistula. To the authors' knowledge, this is the first reported case in which a CCF developed after angioplasty was performed using a coronary balloon. Long-term angiographic and clinical evaluation is needed to test the suitability and durability of intracranial angioplasty and stent placement in the treatment of symptomatic intracranial stenosis.
Stanley H Kim; Adnan I Qureshi; Alan S Boulos; Bernard R Bendok; Elad L Levy; Abutaher M Yahia; Lee R Guterman; L Nelson Hopkins
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  98     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-14     Completed Date:  2003-06-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1116-9     Citation Subset:  AIM; IM    
Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York 14209-1194, USA.
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MeSH Terms
Aged, 80 and over
Angioplasty, Balloon / adverse effects*
Carotid Artery, Internal / radiography
Carotid Stenosis / radiography,  therapy*
Carotid-Cavernous Sinus Fistula / radiography,  therapy*
Cerebral Angiography
Iatrogenic Disease

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