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
Hauptverfasser: Archondakis, E, Pero, G, Valvassori, L, Boccardi, E, Scialfa, G
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container_issue 2
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container_title American Journal of Neuroradiology
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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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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. 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One patient required transvenous coil occlusion of the cavernous sinus. 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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. 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identifier ISSN: 0195-6108
ispartof American Journal of Neuroradiology, 2007-02, Vol.28 (2), p.342-347
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source PubMed (Medline); MEDLINE; Springer Journals; EZB Electronic Journals Library
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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