Treatment of CCFs with covered stents and 6-month and 1-year follow-up

Case 1Case 2Case 3Case 4Case 5Case 6Case 7Case 8
Sex/ageM/31yM/23yF/71yF/45yF/15yM/31yM/29yM/35y
IndicationOcular symptomsOcular symptomsOcular symptomsOcular symptomsOcular symptoms and venous drainage in the subarachnoid cerebral veinsLarge dilation of the basilar venous plexus with compression of the midbrain requiring urgent treatmentOcular symptomsRecent worsening of ocular symptoms
Time between trauma and treatment2 months1 month7 months1 month1 month1 day11 days20 years
Location of the fistula*354553,4,555
U.P.32231111
Stent size4/26 mm4/19 mm4/16 mm4.5/19 mm4/19 mm4/19 and 4/16 mm4.5/26 mm4.5/26 mm
OutcomeComplete occlusion of the CCF without complicationsComplete occlusion of the CCF without complications. On day 2 angiography, a residual fistula was treated with a 5-mm angioplasty balloonComplete occlusion of the CCF without complicationsComplete occlusion of the CCF without complicationsComplete occlusion of the CCF without complicationsComplete occlusion of the CCF without complications related to the procedureNear-complete occlusion of the CCF without complicationsNear-complete occlusion of the CCF without complications. On day 2 angiography, a residual fistula was treated with a 5-mm angioplasty balloon
6-month follow-upAsymptomatic ICA occlusionGood ICA patencyGood ICA patencyGood ICA patencyIntimal hyperplasia (30% stenosis)Not available for follow-up because of death from multiorgan failure(2 months) Persistence of the CCF that required transvenous coil occlusion of the cavernous sinus(3 months) Moderate persistence of the CCF with regression of the ocular symptoms
1-year follow-upStable resultStable resultStable resultStable resultStable resultNANANA
  • * According to Debrun ICA segmentation.44

  • Note:—y indicates years; U.P., unsuccessful procedures; ICA, internal carotid artery; AV, arteriovenous; NA, not available.