Traumatic carotid-cavernous fistula treated by combined transarterial and transvenous coil embolization and associated cavernous internal carotid artery dissection treated with stent placement. Case report

J Neurosurg. 2003 Sep;99(3):584-6. doi: 10.3171/jns.2003.99.3.0584.

Abstract

The authors report on a case in which a carotid-cavernous fistula and an associated cavernous-carotid dissection developed in a 48-year-old man following a motor vehicle accident. The fistula was treated with coil embolization via a combined transarterial-transvenous approach. The dissected carotid artery segment was treated with a balloon-expandable stent, which restored normal caliber and hemispheric flow. There was no recurrence of the fistula and the postoperative wide patency of the carotid artery indicates that stent placement is an effective method of treating traumatic intracranial artery dissections.

Publication types

  • Case Reports

MeSH terms

  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / therapy*
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / therapy*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / therapy*
  • Embolization, Therapeutic / methods*
  • Head Injuries, Closed / complications
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Stents
  • Vascular Surgical Procedures / methods*