Korean J Neurotrauma.  2012 Apr;8(1):51-54. 10.13004/kjnt.2012.8.1.51.

Treatment of High-Flow Carotid Cavernous Fistula Using a Graft Stent: Case Report

• Kang MS
• Kim JH
• Kang HI
• Moon BG

• KMID: 1427684
• DOI: http://doi.org/10.13004/kjnt.2012.8.1.51

Abstract

Currently, endovascular treatment of carotid cavernous fistula (CCF) is widely accepted and performed. However, a graft stent is rarely used for the treatment of high-flow CCF. Here we describe our experience using a graft stent to treat CCF and discuss the indications for its use.

Keyword

Carotid cavernous fistula; Graft stent

MeSH Terms

Caves
Fistula
Stents
Transplants

Figure

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  FIGURE 1. Brain computed tomographic scan showing the exophthalmos of the left eye ball (arrow).

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  FIGURE 2. Lateral angiogram of the left internal carotid artery showing total steal of flow toward the superior ophthalmic vein, pterygoid plexus, contralateral cavernous sinus, and petrosal sinus.

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  FIGURE 3. Immediate post-procedural left internal carotid angiogram, left oblique (A) and lateral views (B), demonstrating complete occlusion of carotid cavernous fistula and normal patency of internal carotid artery.

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  FIGURE 4. Left lateral internal carotid angiogram on day 14 after treatment demonstrating the partial reopening of the fistula (A) and endoleak (arrow) after angioplasty with a coronary balloon (B).

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  FIGURE 5. Lateral angiogram of left internal carotid artery after 8 months showing a complete obliteration of carotid cavernous fistula and pseudoaneurysm of the distal end of the stent (arrow) (A). Computed tomographic angiography 8 months later reveals normal patency of the internal carotid artery (B).

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