Staged Endovascular Occlusion of a Posterior Communicating Artery-Cavernous Sinus Fistula and a Basilar Artery-Cavernous Sinus Fistula Associated with Traumatic Pseudoaneurysms: Technical Consideration and Literature Review.

Ko, Hak Cheol; Koh, Jun Seok; Shin, Hee Sup; Lee, Seung Hwan; Ryu, Chang Woo · World Neurosurg · 2017

case_report · Level V

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Abstract

Traumatic injury of the posterior communicating artery or the basilar artery causing arteriovenous fistulae is rare. Here we report an unusual case of the coincidence of a posterior communicating artery-cavernous sinus fistula and a basilar artery-cavernous sinus fistula associated with traumatic pseudoaneurysms of the posterior communicating and basilar arteries. The fistulas and pseudoaneurysms were obliterated completely after staged endovascular surgery via a transarterial and transvenous route. To our knowledge, this is the first such report worldwide.

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