• World Neurosurg · Apr 2017

    Case Reports

    Management of iatrogenic direct carotid cavernous fistula occurring during endovascular treatment of strokes.

    • Nima Alan, Enyinna Nwachuku, Tudor J Jovin, Brian T Jankowitz, Ashutosh P Jadhav, and Andrew F Ducruet.
    • Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: alann@upmc.edu.
    • World Neurosurg. 2017 Apr 1; 100: 710.e15-710.e20.

    AbstractTraumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.Copyright © 2017 Elsevier Inc. All rights reserved.

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