Successful Treatment by Coil Embolization of a Direct Carotid-cavernous Fistula Occurring during Endovascular Catheter Navigation: A Case Report

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  • Ono Kenichiro
    Department of Neurosurgery, Stroke Center, Mishuku Hospital, Tokyo, Japan Departments of Neurosurgery and Neuroendovascular Therapy, Juntendo University School of Medicine, Tokyo, Japan
  • Oishi Hidenori
    Departments of Neurosurgery and Neuroendovascular Therapy, Juntendo University School of Medicine, Tokyo, Japan
  • Tanoue Shunsuke
    Departments of Neurosurgery and Neuroendovascular Therapy, Juntendo University School of Medicine, Tokyo, Japan

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Objective: A case of a carotid-cavernous fistula (CCF) that was close to the superior ophthalmic vein (SOV) that occurred during endovascular catheter navigation and was treated by transarterial coil embolization is reported.Case Presentations: An arteriovenous fistula and eye swelling occurred during percutaneous transluminal angioplasty (PTA) balloon catheter navigation. Suspecting and searching for a carotid-cavernous fistula, the microcatheter passed from the internal carotid artery (ICA) to the SOV. The fistula was considered to have occurred in the cavernous sinus close to the SOV. The fistula was closed by coil embolization from another microcatheter.Conclusion: It is important to be aware that a CCF may occur at the anterior genu of a cavernous ICA during catheter navigation. In the case of a fistula caused by a guidewire/microcatheter, transarterial coil embolization is possible and may be tried first.

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 10 (1), 40-43, 2016

    特定非営利活動法人 日本脳神経血管内治療学会

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