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Research ArticleINTERVENTIONAL

Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas

C. Wang, X. Xie, C. You, C. Zhang, M. Cheng, M. He, H. Sun and B. Mao
American Journal of Neuroradiology August 2009, 30 (7) 1342-1346; DOI: https://doi.org/10.3174/ajnr.A1583
C. Wang
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X. Xie
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C. You
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C. Zhang
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M. Cheng
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M. He
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H. Sun
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B. Mao
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    Fig 1.

    Case 5. A, Left carotid angiogram shows a DCCF. B, Immediate angiogram after covered-stent deployment shows complete occlusion of the fistula. Note the rigid course of the ICA where the stent has been deployed. C, Fluoroscopy shows the stent (arrowheads). D, Follow-up angiogram at 5 months shows no recanalization of the fistula and patency of the stent.

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    Fig 2.

    Case 3. A, Left carotid angiogram shows a DCCF. B, Immediate angiogram after balloon (arrows) detachment shows complete occlusion of the fistula. C, The fistula recurred due to early balloon deflation as evident on angiography at 2 weeks after balloon detachment. The small white point (arrowhead) is the marker of the balloon. D, Immediate angiogram after covered-stent deployment shows sluggish filling of the cavernous sinus (arrows). E, Angiogram shows complete occlusion of the fistula after re-dilation. F, Follow-up angiogram at 48 months shows no recanalization of the fistula and patency of the stent.

  • Fig 3.
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    Fig 3.

    Case 7. A, Left carotid angiogram shows a DCCF. B, Immediate angiogram after covered-stent deployment and re-dilation shows complete occlusion of the fistula. Note the spasm at both ends of the stent (arrowheads). C, Angiogram 1 day after stent deployment shows recanalization of the fistula. D, The ipsilateral ICA was occluded with detachable balloons (arrowheads) at both ends of the stent (arrows).

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American Journal of Neuroradiology: 30 (7)
American Journal of Neuroradiology
Vol. 30, Issue 7
August 2009
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Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas
C. Wang, X. Xie, C. You, C. Zhang, M. Cheng, M. He, H. Sun, B. Mao
American Journal of Neuroradiology Aug 2009, 30 (7) 1342-1346; DOI: 10.3174/ajnr.A1583

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Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas
C. Wang, X. Xie, C. You, C. Zhang, M. Cheng, M. He, H. Sun, B. Mao
American Journal of Neuroradiology Aug 2009, 30 (7) 1342-1346; DOI: 10.3174/ajnr.A1583
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