Regression of an internal carotid artery pseudoaneurysm after therapeutic embolization of a post-traumatic carotid-cavernous fistula secondary to gunshot injury

1990 ◽  
Vol 32 (3) ◽  
pp. 226-228 ◽  
Author(s):  
S. Mori ◽  
M. Feliciani ◽  
G. Guglielmi ◽  
G. Guidetti ◽  
M. Dazzi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Therapeutic Embolization ◽  
Gunshot Injury ◽  
Carotid Cavernous Fistula ◽  
Artery Pseudoaneurysm ◽  
Cavernous Fistula ◽  
Post Traumatic

Concurrent carotid-cavernous fistula and cervical internal carotid artery pseudoaneurysm due to a gunshot injury: A case report

2021 ◽  
Author(s):  
M. Agudelo-Arrieta ◽  
D. Vergara-Garcia ◽  
H. Madrinan-Navia ◽  
H. Palmera-Pineda ◽  
E. Vergara-Dagobeth ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Gunshot Injury ◽  
Carotid Cavernous Fistula ◽  
Artery Pseudoaneurysm ◽  
Cavernous Fistula ◽  
Cervical Internal Carotid Artery

Coils and Onyx Embolization of Traumatic Carotid-Cavernous Fistula Caused by an Intradural Internal Carotid Artery Pseudoaneurysm

2012 ◽  
Vol 25 (2) ◽  
pp. 231-236 ◽  
Author(s):  
P. Zhao ◽  
L. Liu ◽  
C. Jiang ◽  
P. Jiang ◽  
X. Yang
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Multiple Fractures ◽  
Artery Pseudoaneurysm ◽  
Cavernous Fistula ◽  
Detachable Coils ◽  
Flow Through ◽  
The Common

A rare case of traumatic carotid-cavernous fistula caused by an intradural internal carotid artery pseudoaneurysm arising from the intradural internal carotid artery is described. The presentation was similar to that of carotid-cavernous fistulae, with ocular pain, chemosis and proptosis being the common symptoms. The patient was successfully treated by transarterial coil and Onyx-34 embolization. A 40-year-old man presented with severe injury, including multiple fractures of ribs, clavicle scapula and blind left eye. He gradually recovered and was discharged after intensive treatment in a local hospital. But about 70 days after discharge, his left eye became gradually chemotic and he felt a pulsatile bruit in his left ear. A CT scan and DSA confirmed a large intradural pseudoaneurysm and the associated carotid-cavernous fistula. Angiography revealed a fistula between the intradural aneurysm and the cavernous sinus. The origin of the aneurysm was above the posterior communicating artery. The aneurysm was successfully obliterated with detachable coils and Onyx-34 with the protection of a Hyperglide balloon. Subsequent studies demonstrated no flow through the fistula and good opacification of the ipsilateral internal cerebral artery system. Intradural pseudoaneurysm associated with carotid-cavernous fistula is a rare sequel of trauma. It may be treated successfully with the use of transarterial coil and Onyx embolization.

scholarly journals Equine pericardium-covered stenting in post-traumatic pseudoaneurysm of cavernous internal carotid artery

2018 ◽  
Vol 24 (6) ◽  
pp. 635-638
Author(s):  
Jorge L Gonzalez-Cantero ◽  
Mariano del Valle Diéguez ◽  
Cristina Monteserín Matesanz ◽  
Javier Saura Lorente ◽  
Francisco Villoria Medina ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Covered Stent ◽  
Parent Vessel ◽  
Artery Pseudoaneurysm ◽  
Equine Pericardium ◽  
Post Traumatic

We report a case of traumatic intracranial carotid artery pseudoaneurysm treated with an equine pericardium-covered stent. The patient was admitted to the Emergency Department after sustaining severe polytrauma in a motor vehicle accident. A cavernous carotid pseudoaneurysm was detected after an episode of massive epistaxis that required emergent nasal packing. Treatment with parent vessel sacrifice was ruled out after an unfavourable balloon test occlusion. We opted for an equine pericardium-covered stent as a means to immediately seal the wall defect in the setting of massive bleeding secondary to an unstable lesion. We describe the potential benefits and drawbacks of these prostheses and the technical difficulties encountered in this particular case. To our best knowledge, this is the first published case report on a post-traumatic intracranial internal carotid artery pseudoaneurysm successfully treated with an equine pericardium-covered stent.

scholarly journals Treatment of Carotid Cavernous Fistula Secondary to Rupture of a Giant Intracavernous Carotid Aneurysm

2003 ◽  
Vol 9 (3) ◽  
pp. 293-298 ◽  
Author(s):  
C.K. Kam ◽  
H. Alvarez ◽  
P. Lasjaunias
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Therapeutic Challenge ◽  
Intracavernous Aneurysm ◽  
Complete Closure ◽  
Direct Carotid Cavernous Fistula ◽  
Ophthalmic Arteries

Carotid cavernous fistula secondary to ruptured giant intracavernous aneurysm of the internal carotid artery is rare. We report a case of direct carotid cavernous fistula secondary to rupture of a giant intracavernous ICA aneurysm. The presence of mirror or twin aneurysms of bilateral ophthalmic arteries raises therapeutic challenge. Coiling of the intracavernous aneurysm could partially occlude the fistula. Complete closure of the fistula was facilitated by secondary carotid compression.

scholarly journals Traumatic Carotid Cavernous Fistula: Failure of Endovascular Treatment with Two Stent-Grafts

2005 ◽  
Vol 11 (4) ◽  
pp. 369-375 ◽  
Author(s):  
G. La Tessa ◽  
L. Pasqualetto ◽  
G. Catalano ◽  
M. Marino ◽  
C. Gargano ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
High Flow ◽  
Stent Grafts ◽  
Carotid Cavernous Fistula ◽  
Detachable Balloon ◽  
Cavernous Fistula ◽  
Endovascular Approach ◽  
Stenting Procedure

We describe an unconventional endovascular approach in a young patient with large high-flow traumatic carotid cavernous fistula that could not be treated by detachable balloon procedure. Two coronary stent-grafts were used to close the large tear of internal carotid artery. After the failure of stenting procedure, the fistula was successfully treated by trapping with two detachable balloons.

scholarly journals Guidewire-Induced Carotid Cavernous Fistula

2001 ◽  
Vol 7 (2) ◽  
pp. 161-165 ◽  
Author(s):  
T.-S. Kim ◽  
M. Ezura ◽  
A. Takahashi ◽  
S. Nishimura ◽  
T. Yoshimoto
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endovascular Embolization ◽  
Guglielmi Detachable Coils ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Small Branch ◽  
Detachable Coils

A rare case of carotid cavernous fistula occurring during endovascular embolization of the left carotid cave aneurysm in a 48-year-old female is reported. It was thought to be caused by the tear of a small branch derived from the intracavernous internal carotid artery while the guidewire was passing the sharp posterior bend of the intracavernous internal carotid artery. The left carotid cave aneurysm was completely occluded with five Guglielmi detachable coils assisted by neck plasty technique. It was decided to follow-up the carotid cavernous fistula since it was asymptomatic. Follow-up angiogram performed two weeks later revealed spontaneous obliteration of the carotid cavernous fistula.

Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient

2013 ◽  
Vol 29 (12) ◽  
pp. 2287-2290 ◽  
Author(s):  
Wellingson Silva Paiva ◽  
Almir Ferreira de Andrade ◽  
André Beer-Furlan ◽  
Iuri Santana Neville ◽  
Gustavo S. Noleto ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Pediatric Patient ◽  
Internal Carotid ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula
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