Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke

Authors

Nima Alan, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: alann@upmc.edu.
Enyinna Nwachuku, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Tudor J. Jovin, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Brian T. Jankowitz, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Ashutosh P. Jadhav, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.Follow
Andrew F. Ducruet, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.Follow

Document Type

Article

Abstract

Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.

Keywords

Carotid-cavernous fistula, Cerebral angiography, Complications, Endovascular, Stroke

Medical Subject Headings

Aged; Carotid-Cavernous Sinus Fistula (diagnostic imaging, etiology, pathology, therapy); Endovascular Procedures; Female; Humans; Iatrogenic Disease; Male; Middle Aged; Postoperative Complications (pathology, therapy); Stroke (diagnostic imaging, surgery)

Publication Date

4-1-2017

Publication Title

World neurosurgery

E-ISSN

1878-8769

Volume

100

First Page

710.e15

Last Page

710.e20

PubMed ID

28185973

Digital Object Identifier (DOI)

10.1016/j.wneu.2017.01.112

Recommended Citation

Alan, Nima; Nwachuku, Enyinna; Jovin, Tudor J.; Jankowitz, Brian T.; Jadhav, Ashutosh P.; and Ducruet, Andrew F., "Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke" (2017). Translational Neuroscience. 2127.
https://scholar.barrowneuro.org/neurobiology/2127