Title

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

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

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