• No Shinkei Geka · Nov 2018

    Case Reports

    [Treatment of a Traumatic Direct Carotid Cavernous Fistula with an Intradural Internal Carotid Artery Pseudoaneurysm Using a Low-profile Visualized Intraluminal Support(LVIS)Stent:A Case Report].

    • Takeshi Hara, Takashi Sadatomo, Kiyoharu Shimizu, Hideo Oba, Kiyoshi Yuki, Shigeyuki Sakamoto, Takahito Okazaki, Katsuhiro Shinagawa, and Kaoru Kurisu.
    • Department of Neurosurgery, Higashihiroshima Medical Center.
    • No Shinkei Geka. 2018 Nov 1; 46 (11): 989-997.

    AbstractTraumatic carotid cavernous fistula(CCF)is known to present a direct connection between the cavernous segment of the internal carotid artery(ICA)and the cavernous sinus(CS). In rare cases, the fistula is formed between the intradural internal carotid artery(ICA)and the cavernous sinus(CS)via a pseudoaneurysm(pAN), requiring appropriate management and aggressive surgical treatment. We describe a 58-year-old man who sustained a severe head injury diagnosed as traumatic CCF treated with an intradural pAN procedure and transarterial coil embolization combined with a Low-profile Visualized Intraluminal Support(LVIS)stent. While slow arteriovenous shunt flow persisted at the end of the surgery, the fistula was completely occluded on the digital subtraction angiography obtained 2 weeks after the procedure. It was suspected that the flow-diversion effect of the LVIS stent might have caused the curable progression of the fistula occlusion.

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