Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke.

Alan, Nima; Nwachuku, Enyinna; Jovin, Tudor J; Jankowitz, Brian T; Jadhav, Ashutosh P; Ducruet, Andrew F · World Neurosurg · 2017

case_report · Level V

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Abstract

Traumatic 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.

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