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Abstract
Currently, endovascular treatment of carotid cavernous fistula (CCF) is widely accepted and performed. However, a graft stent is rarely used for the treatment of high-flow CCF. Here we describe our experience using a graft stent to treat CCF and discuss the indications for its use. (Korean J Neurotrauma 2012;8:51-54)
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FIGURE 2.
Lateral angiogram of the left internal carotid artery showing total steal of flow toward the superior ophthalmic vein, pterygoid plexus, contralateral cavernous sinus, and petrosal sinus.
FIGURE 3.
Immediate post-procedural left internal carotid angiogram, left oblique (A) and lateral views (B), demonstrating complete occlusion of carotid cavernous fistula and normal patency of internal carotid artery.
FIGURE 4.
Left lateral internal carotid angiogram on day 14 after treatment demonstrating the partial reopening of the fistula (A) and endoleak (arrow) after angioplasty with a coronary balloon (B).
FIGURE 5.
Lateral angiogram of left internal carotid artery after 8 months showing a complete obliteration of carotid cavernous fistula and pseudoaneurysm of the distal end of the stent (arrow) (A). Computed tomographic angiography 8 months later reveals normal patency of the internal carotid artery (B).
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