Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke
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.
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)
Digital Object Identifier (DOI)
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.