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OtherINTERVENTIONAL

Treatment of Iatrogenic Internal Carotid Artery Laceration and Carotid Cavernous Fistula with Endovascular Stent-Graft Placement

Naci Kocer, Osman Kizilkilic, Sait Albayram, Ibrahim Adaletli, Fatih Kantarci and Civan Islak
American Journal of Neuroradiology March 2002, 23 (3) 442-446;
Naci Kocer
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Osman Kizilkilic
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Sait Albayram
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Ibrahim Adaletli
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Fatih Kantarci
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Civan Islak
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    Fig 1.

    Angiograms obtained with external compression of the right CCA in a 58- year-old woman with iatrogenic right ICA injury associated with TSS.

    A and B, Right (A) and left (B) CCA angiograms, anteroposterior projections, reveal contrast material extravasation within the sphenoid sinus (arrow) and show a high-flow CCF draining toward the superior ophthalmic vein, pterygoid plexus, and petrosal sinuses.

    C and D, Left CCA angiograms reveal prominent circulation delays in the capillary (C) and venous (D) phases on the right side in comparison with the left side.

  • Fig 2.
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    Fig 2.

    Coronary stent-graft placement to treat an iatrogenic ICA injury.

    A, Contrast material injection from the guiding catheter reveals the lacerated segment of the right ICA (arrow) on this angiogram. Note that the stent-graft and microguidewire are in the ICA lumen during the injection.

    B, Fluoroscopic image obtained after removal of the microballoon and microguidewire shows the expanded stent-graft in the lacerated ICA.

    C, Postprocedural right CCA angiogram obtained after deployment of stent-graft reveals cessation of contrast material extravasation and closure of the CCF. Note the focal transient spasm distal to the stent-graft and at the subpetrous portion of cervical ICA (arrows).

    D, Right CCA angiogram obtained 3 mo after the procedure demonstrates patency of the ICA, with no contour irregularity.

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American Journal of Neuroradiology: 23 (3)
American Journal of Neuroradiology
Vol. 23, Issue 3
1 Mar 2002
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Treatment of Iatrogenic Internal Carotid Artery Laceration and Carotid Cavernous Fistula with Endovascular Stent-Graft Placement
Naci Kocer, Osman Kizilkilic, Sait Albayram, Ibrahim Adaletli, Fatih Kantarci, Civan Islak
American Journal of Neuroradiology Mar 2002, 23 (3) 442-446;

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Treatment of Iatrogenic Internal Carotid Artery Laceration and Carotid Cavernous Fistula with Endovascular Stent-Graft Placement
Naci Kocer, Osman Kizilkilic, Sait Albayram, Ibrahim Adaletli, Fatih Kantarci, Civan Islak
American Journal of Neuroradiology Mar 2002, 23 (3) 442-446;
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  • Surpass Streamline Flow-Diverter Embolization Device for Treatment of Iatrogenic and Traumatic Internal Carotid Artery Injuries
  • Multiple Unilateral Traumatic Carotid-Cavernous Sphenoid Sinus Fistulas with Associated Massive Epistaxis: A Consequence of Parkour
  • Emergency reconstructive endovascular management of intraoperative complications involving the internal carotid artery from trans-sphenoidal surgery
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