Delayed caroticocavernous fistula after stent-assisted coil embolization of intracavernous carotid aneurysm: should we manage conservatively?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Huan Wee Chan , Nikolaos Haliasos , Shahram Derakhshani , Raghu Vindlacheruvu , Sanjiv Chawda
- چاپ و سال / کشور: 2011
Description
Constructive endovascular techniques remain the mainstay for the treatment of cavernous carotid aneurysms due to their efficacy. However, they do harbor risks of complications, such as thromboembolic events, arterial injuries, and vessel occlusions. A 58-year-old lady presented with delayed caroticocavernous fistula (CCF) 1 month after stent-assisted coil embolization of a cavernous carotid aneurysm (CCA). Following this, her caroticocavernous fistula resolved spontaneously with no further intervention. Our case demonstrates a unique presentation of a CCF as a delayed complication of stent-assisted coil embolization of CCA and the spontaneous resolution of the CCF. Symptomatic CCFs are commonly treated as an emergency in many institutions and the question arises as to whether we should adopt a conservative policy in the light of this case report
Acta Neurochir (2011) 153:1291–1295 DOI 10.1007/s00701-011-0968-7 Received: 29 September 2010 / Accepted: 7 February 2011 / Published online: 24 February 2011 # Springer-Verlag 2011
