Angiographic Follow-Up of Traumatic Carotid Cavernous Fistulas Treated with Endovascular Stent Graft Placement
Endovascular treatment (EVT) of carotid cavernous fistulas (CCFs) is based on various techniques, mainly those using detachable balloons. Coronary covered stent grafts have been sporadically used in the intracranial arteries and only 2 traumatic CCFs have been reported in the literature; moreover, t...
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Veröffentlicht in: | American Journal of Neuroradiology 2007-02, Vol.28 (2), p.342-347 |
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creator | Archondakis, E Pero, G Valvassori, L Boccardi, E Scialfa, G |
description | Endovascular treatment (EVT) of carotid cavernous fistulas (CCFs) is based on various techniques, mainly those using detachable balloons. Coronary covered stent grafts have been sporadically used in the intracranial arteries and only 2 traumatic CCFs have been reported in the literature; moreover, there is poor information about the long-term follow-up. We present 8 cases of CCFs treated by the placement of a covered stent, 5 of which have a 1-year clinical and angiographic follow-up.
Eight patients with posttraumatic CCF were treated by positioning a covered stent in the intracranial internal carotid artery (ICA) to occlude the fistula. They received periodic clinical and angiographic follow-up to evaluate the patency and the stability of clinical results.
In all cases, the symptoms related to the CCF regressed after treatment and did not recur in the follow-up. Two patients presented residual filling of the CCF at the end of the procedure. The angiographic follow-up revealed in 6 patients of 7 a good patency of the ICA; in 1 patient, there was an ICA asymptomatic occlusion. One patient required transvenous coil occlusion of the cavernous sinus.
When standard treatments fail, covered stent grafts can be used as a valid alternative in the treatment of CCFs, but more data are needed, especially in the long-term follow-up. |
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Eight patients with posttraumatic CCF were treated by positioning a covered stent in the intracranial internal carotid artery (ICA) to occlude the fistula. They received periodic clinical and angiographic follow-up to evaluate the patency and the stability of clinical results.
In all cases, the symptoms related to the CCF regressed after treatment and did not recur in the follow-up. Two patients presented residual filling of the CCF at the end of the procedure. The angiographic follow-up revealed in 6 patients of 7 a good patency of the ICA; in 1 patient, there was an ICA asymptomatic occlusion. One patient required transvenous coil occlusion of the cavernous sinus.
When standard treatments fail, covered stent grafts can be used as a valid alternative in the treatment of CCFs, but more data are needed, especially in the long-term follow-up.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>EISSN: 1432-1920</identifier><identifier>PMID: 17297009</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Blood Vessel Prosthesis ; Carotid Artery Injuries - diagnostic imaging ; Carotid Artery Injuries - therapy ; Carotid-Cavernous Sinus Fistula - diagnostic imaging ; Carotid-Cavernous Sinus Fistula - therapy ; Cerebral Angiography ; Coated Materials, Biocompatible ; Female ; Follow-Up Studies ; Humans ; Interventional ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Recurrence ; Stents</subject><ispartof>American Journal of Neuroradiology, 2007-02, Vol.28 (2), p.342-347</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright © American Society of Neuroradiology 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977413/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7977413/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18550498$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17297009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Archondakis, E</creatorcontrib><creatorcontrib>Pero, G</creatorcontrib><creatorcontrib>Valvassori, L</creatorcontrib><creatorcontrib>Boccardi, E</creatorcontrib><creatorcontrib>Scialfa, G</creatorcontrib><title>Angiographic Follow-Up of Traumatic Carotid Cavernous Fistulas Treated with Endovascular Stent Graft Placement</title><title>American Journal of Neuroradiology</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Endovascular treatment (EVT) of carotid cavernous fistulas (CCFs) is based on various techniques, mainly those using detachable balloons. Coronary covered stent grafts have been sporadically used in the intracranial arteries and only 2 traumatic CCFs have been reported in the literature; moreover, there is poor information about the long-term follow-up. We present 8 cases of CCFs treated by the placement of a covered stent, 5 of which have a 1-year clinical and angiographic follow-up.
Eight patients with posttraumatic CCF were treated by positioning a covered stent in the intracranial internal carotid artery (ICA) to occlude the fistula. They received periodic clinical and angiographic follow-up to evaluate the patency and the stability of clinical results.
In all cases, the symptoms related to the CCF regressed after treatment and did not recur in the follow-up. Two patients presented residual filling of the CCF at the end of the procedure. The angiographic follow-up revealed in 6 patients of 7 a good patency of the ICA; in 1 patient, there was an ICA asymptomatic occlusion. One patient required transvenous coil occlusion of the cavernous sinus.
When standard treatments fail, covered stent grafts can be used as a valid alternative in the treatment of CCFs, but more data are needed, especially in the long-term follow-up.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Carotid Artery Injuries - diagnostic imaging</subject><subject>Carotid Artery Injuries - therapy</subject><subject>Carotid-Cavernous Sinus Fistula - diagnostic imaging</subject><subject>Carotid-Cavernous Sinus Fistula - therapy</subject><subject>Cerebral Angiography</subject><subject>Coated Materials, Biocompatible</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Interventional</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Recurrence</subject><subject>Stents</subject><issn>0195-6108</issn><issn>1936-959X</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9r3DAQxU1JaTZpv0LRpbkZ9MeSpUshLNltIZBAE-hNzMryWkW2tpK8pt--Kt00zSmnYd78ePOYeVOtiGKiVlx9P6tWmCheC4LleXWR0g-MMVctfVedk5aqFmO1qqbrae_CPsJhcAZtgvdhqR8PKPToIcI8Qi7yGmLIriv1aOMU5oQ2LuXZQyqQhWw7tLg8oJupC0dIpkwi-pbtlNE2Qp_RvQdjx9K_r9724JP9cKqX1ePm5mH9pb69235dX9_WA-M8140QDdCOCiMkV8paTBhpidjZHTe4-yM1lLcN60EILKUAhY2lfU-wkoCBXVaf__oe5t1oO1NWR_D6EN0I8ZcO4PTLyeQGvQ9H3aq2bQgrBlcngxh-zjZlPbpkrPcw2XIALRTGhFL6KkixZJJIXsCP_0f6l-XpFwX4dALKCcH3ESbj0jMnOceNks_c4PbD4qLVaQTviy3Ry7JQqalmDWW_Act9ok4</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Archondakis, E</creator><creator>Pero, G</creator><creator>Valvassori, L</creator><creator>Boccardi, E</creator><creator>Scialfa, G</creator><general>Am Soc Neuroradiology</general><general>American Society of Neuroradiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070201</creationdate><title>Angiographic Follow-Up of Traumatic Carotid Cavernous Fistulas Treated with Endovascular Stent Graft Placement</title><author>Archondakis, E ; Pero, G ; Valvassori, L ; Boccardi, E ; Scialfa, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h355t-4664a2d26c68599ee0131716beb5c0d599e425743fa660886a90ce2ff1098a0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis</topic><topic>Carotid Artery Injuries - diagnostic imaging</topic><topic>Carotid Artery Injuries - therapy</topic><topic>Carotid-Cavernous Sinus Fistula - diagnostic imaging</topic><topic>Carotid-Cavernous Sinus Fistula - therapy</topic><topic>Cerebral Angiography</topic><topic>Coated Materials, Biocompatible</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Interventional</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Recurrence</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Archondakis, E</creatorcontrib><creatorcontrib>Pero, G</creatorcontrib><creatorcontrib>Valvassori, L</creatorcontrib><creatorcontrib>Boccardi, E</creatorcontrib><creatorcontrib>Scialfa, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American Journal of Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Archondakis, E</au><au>Pero, G</au><au>Valvassori, L</au><au>Boccardi, E</au><au>Scialfa, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Angiographic Follow-Up of Traumatic Carotid Cavernous Fistulas Treated with Endovascular Stent Graft Placement</atitle><jtitle>American Journal of Neuroradiology</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>28</volume><issue>2</issue><spage>342</spage><epage>347</epage><pages>342-347</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><eissn>1432-1920</eissn><coden>AAJNDL</coden><abstract>Endovascular treatment (EVT) of carotid cavernous fistulas (CCFs) is based on various techniques, mainly those using detachable balloons. Coronary covered stent grafts have been sporadically used in the intracranial arteries and only 2 traumatic CCFs have been reported in the literature; moreover, there is poor information about the long-term follow-up. We present 8 cases of CCFs treated by the placement of a covered stent, 5 of which have a 1-year clinical and angiographic follow-up.
Eight patients with posttraumatic CCF were treated by positioning a covered stent in the intracranial internal carotid artery (ICA) to occlude the fistula. They received periodic clinical and angiographic follow-up to evaluate the patency and the stability of clinical results.
In all cases, the symptoms related to the CCF regressed after treatment and did not recur in the follow-up. Two patients presented residual filling of the CCF at the end of the procedure. The angiographic follow-up revealed in 6 patients of 7 a good patency of the ICA; in 1 patient, there was an ICA asymptomatic occlusion. One patient required transvenous coil occlusion of the cavernous sinus.
When standard treatments fail, covered stent grafts can be used as a valid alternative in the treatment of CCFs, but more data are needed, especially in the long-term follow-up.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>17297009</pmid><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Blood Vessel Prosthesis Carotid Artery Injuries - diagnostic imaging Carotid Artery Injuries - therapy Carotid-Cavernous Sinus Fistula - diagnostic imaging Carotid-Cavernous Sinus Fistula - therapy Cerebral Angiography Coated Materials, Biocompatible Female Follow-Up Studies Humans Interventional Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Nervous system Radiodiagnosis. Nmr imagery. Nmr spectrometry Recurrence Stents |
title | Angiographic Follow-Up of Traumatic Carotid Cavernous Fistulas Treated with Endovascular Stent Graft Placement |
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