Transarterial closure of persistent carotid-cavernous fistula after carotid ligation

1984 ◽  
Vol 61 (2) ◽  
pp. 402-404
Author(s):  
John P. Kapp ◽  
Joga R. Pattisapu ◽  
J. Larry Parker
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Bifurcation ◽  
Fogarty Catheter ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Cervical Internal Carotid Artery ◽  
Fine Print

✓ A carotid-cavernous fistula which had recurred after trapping, embolization, intracranial packing with muscle, and excision of the cervical carotid bifurcation was successfully closed with a Fogarty catheter introduced through the fibrous remnant of the cervical internal carotid artery.

Intracranial stent placement for the treatment of a carotid—cavernous fistula associated with intracranial angioplasty

2003 ◽  
Vol 98 (5) ◽  
pp. 1116-1119 ◽  
Author(s):  
Stanley H. Kim ◽  
Adnan I. Qureshi ◽  
Alan S. Boulos ◽  
Bernard R. Bendok ◽  
Elad I. Levy ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
High Grade ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Fine Print

✓ The authors report a case of an iatrogenic carotid—cavernous fistula (CCF) associated with intracranial angioplasty. Angioplasty was performed using a 3 × 10-mm Open Sail coronary balloon in a patient with high-grade stenosis of the left cavernous internal carotid artery (ICA). After angioplasty, a perforation developed in the cavernous ICA, resulting in a CCF. A 3.5 × 9—mm S670 coronary stent was used to treat the fistula. To the authors' knowledge, this is the first reported case in which a CCF developed after angioplasty was performed using a coronary balloon. Long-term angiographic and clinical evaluation is needed to test the suitability and durability of intracranial angioplasty and stent placement in the treatment of symptomatic intracranial stenosis.

Giant traumatic false aneurysm of the internal carotid artery associated with a carotid-cavernous fistula

1981 ◽  
Vol 55 (5) ◽  
pp. 813-818 ◽  
Author(s):  
S. V. Ramana Reddy ◽  
Thoralf M. Sundt
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Internal Carotid ◽  
False Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Prolene Suture ◽  
Fine Print

✓ A case of giant traumatic false aneurysm of the intracranial internal carotid artery (ICA) with a concomitant carotid-cavernous fistula is reported. The fistula and the aneurysm persisted after ipsilateral cervical ICA ligation was performed elsewhere. Successful obliteration of the aneurysm and the fistula, with preservation of cross filling of the ipsilateral middle cerebral artery system, was accomplished by ligation of the intracranial ICA proximal to the origin of the posterior communicating artery with a 7–0 prolene suture, followed by transaneurysmal packing of the fistula.

Carotid control for intracranial aneurysms

1988 ◽  
Vol 69 (1) ◽  
pp. 142 ◽  
Author(s):  
Milton D. Heifetz
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Control Mechanism ◽  
Content Type ◽  
Flexible Cable ◽  
Cervical Internal Carotid Artery ◽  
Fine Print

✓ A new clamp with a flexible cable control mechanism for temporary intraoperative occlusion of the cervical internal carotid artery is described.

Treatment of internal carotid bifurcation aneurysms by direct surgery

1975 ◽  
Vol 43 (3) ◽  
pp. 343-351 ◽  
Author(s):  
Ram P. Sengupta ◽  
Laurance P. Lassman ◽  
Ailton A. de Moraes ◽  
Neil Garvan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Bifurcation ◽  
Review Of The Literature ◽  
Content Type ◽  
Intracranial Surgery ◽  
Fine Print

✓ Nine cases of aneurysm at the bifurcation of the internal carotid artery are described. All patients were submitted to direct intracranial surgery and the neck of the sac in eight cases was occluded by spring clip. There was no mortality and only one poor result. From an analysis of these cases and a review of the literature, some characteristics of these aneurysms and their management are described.

Traumatic carotid-cavernous fistula due to transection of the intracavernous carotid artery

1984 ◽  
Vol 60 (5) ◽  
pp. 1080-1084 ◽  
Author(s):  
Ibrahim A. Sbeih ◽  
Sean A. O'Laoire
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
High Flow ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Complete Transection ◽  
Intracavernous Carotid Artery ◽  
Direct Attack ◽  
Fine Print

✓ The authors report a case of a high-flow posttraumatic carotid-cavernous fistula, with complete steal of the blood flow from the ipsilateral internal carotid artery (ICA). Direct attack on the intracavernous carotid artery was performed using the approach of Parkinson with temporary isolation of the ICA. Complete transection of the artery within the cavernous sinus was encountered. The fistula was occluded by clipping the two ends of the ICA within the sinus. The implications of this previously unreported finding are discussed.

An approach to a basilar aneurysm above the bifurcation of the internal carotid artery

1983 ◽  
Vol 59 (6) ◽  
pp. 1082-1084 ◽  
Author(s):  
Shigeaki Kobayashi ◽  
Kenichiro Sugita ◽  
Fukuo Nakagawa
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Bifurcation ◽  
Content Type ◽  
Temporal Lobes ◽  
Basilar Artery Aneurysm ◽  
Perforating Arteries ◽  
Fine Print

✓ The authors report a case of a basilar artery aneurysm approached by the transsylvian route; the aneurysm was successfully clipped through the space distal to the carotid bifurcation and between the frontal and temporal lobes. This approach is useful when the internal carotid artery is short, sclerotic, and difficult to mobilize. Special care should be taken when retracting perforating arteries and the posterior communicating artery.

Spontaneous carotid - cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery

1974 ◽  
Vol 40 (4) ◽  
pp. 539-543 ◽  
Author(s):  
Sixto Obrador ◽  
Juan Gomez-Bueno ◽  
Javier Silvela
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Ruptured Aneurysm ◽  
Selective Angiography ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Internal Carotid Arteries

✓ The authors report a case in which the cause of a “spontaneous” carotid-cavernous fistula could not be demonstrated by selective angiography of external and internal carotid arteries. However, postmortem study of the cavernous sinuses revealed an unsuspected ruptured aneurysm of the internal carotid artery at the origin of the meningohypophyseal branch.

Urgent endovascular treatment of acute symptomatic occlusion of the cervical internal carotid artery

2003 ◽  
Vol 99 (6) ◽  
pp. 972-977 ◽  
Author(s):  
Huan Wang ◽  
Giuseppe Lanzino ◽  
Kenneth Fraser ◽  
Patrick Tracy ◽  
David Wang
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Clinical Characteristics ◽  
Internal Carotid ◽  
Content Type ◽  
Endovascular Approach ◽  
Cervical Internal Carotid Artery ◽  
Fine Print

Object. The prognosis of patients with acute symptomatic cervical internal carotid artery (ICA) occlusion is generally considered to be poor. Traditionally, such patients are not considered eligible for urgent thrombolytic/endovascular treatment. Since 1998, an aggressive therapeutic approach with endovascular treatment has been adopted at the authors' institution. In this report they assess whether aggressive treatment of ICA occlusion is appropriate. Methods. The clinical characteristics and outcome of six consecutive patients treated urgently with an endovascular approach between 1998 and 2001 are reviewed and summarized. Recanalization was accomplished in all patients. At a mean follow-up period of 8 months (range 2–14 months), five of six patients had good or excellent outcomes (modified Rankin Scale [mRS] Score 0–1) and one had a poor outcome (mRS Score 4). Conclusions. With recent advancements in thrombolytic and endovascular treatments, an aggressive endovascular approach in patients with acute symptomatic cervical ICA occlusion may be successful. Further clinical data are required to determine the optimal endovascular approach in these patients.

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