Document Detail


Treatment of post-traumatic carotid-cavernous fistulas with the Willis covered stent. A preliminary prospective study.
MedLine Citation:
PMID:  22681732     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe our preliminary experience on the feasibility of using the Willis covered stent in patients with carotid-cavernous fistulas (CCFs). Eleven consecutive patients with post-traumatic CCFs referred for treatment with Willis covered stents were enrolled into this prospective study, and were subsequently followed-up at our hospital. Data on technical success, initial and final angiographic results, mortality, morbidity and final clinical outcome, was collected, with follow-up performed at one, three, six and 12 months, and yearly thereafter. Deployment of the covered stents was technically successful in all patients. Angiographic results following stent placement showed a complete occlusion in eight patients with ten CCFs, and an incomplete occlusion in three. No adverse events occurred either during or after the procedure. Angiographic follow-up (mean 14.73 ± 6.77 months) revealed complete occlusion and no obvious in-stent stenosis in all patients. Clinical follow-up (mean 17.73 ± 6.48 months) demonstrated full recovery in ten patients, and improvement in one. These preliminary results indicate that the use of the Willis covered stent is a feasible procedure, and that it may therefore serve as an alternative treatment for CCFs. Longer follow-up assessments and an expanded clinical trial are needed.
Authors:
Y-L Wang; J Ma; P-X Ding; Y-D Li; X-W Han; G Wu
Publication Detail:
Type:  Journal Article     Date:  2012-06-04
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  18     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-11     Completed Date:  2012-09-20     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  172-7     Citation Subset:  IM    
Affiliation:
Department of Interventional Radiology, First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan Province, China. hanxinwei@tom.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Carotid-Cavernous Sinus Fistula / etiology,  radiography,  surgery*
Cerebral Angiography
Coated Materials, Biocompatible
Craniocerebral Trauma / complications*
Endovascular Procedures / methods*
Female
Humans
Male
Middle Aged
Prospective Studies
Radiography, Interventional
Stents*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Coated Materials, Biocompatible
Comments/Corrections

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