We describe an unconventional endovascular approach in a young patient with large high-flow traumatic carotid cavernous fistula that could not be treated by detachable balloon procedure. Two coronary stent-grafts were used to close the large tear of internal carotid artery.
After the failure of stenting procedure, the fistula was successfully treated by trapping with two detachable balloons.
MuMichaelTengHuoChangCheng-Yen: Cavernous Fistulas. Am J Neuroradiol21: 1753–1756, 2000.
5.
MorrisPearse P: Balloon Reconstructive Technique for the Treatment of a Carotid Cavernous Fistula. Am J Neuroradiol20: 1107–1109, 1999.
6.
HalbachVVHigashidaRT: Transarterial platinum coil embolization of carotid-cavernous fistula. Am J Neuroradiol12: 429–433, 1991.
7.
HalbachVVHigaschidaRT: Transvenous embolization of direct carotid-cavernous fistulas. Am J Neuroradiol9: 741–747, 1988.
8.
SencerSerraMinareciOzencPoyanliArzu: Treatment of Direct Carotid Cavernous Fistula. Am J Neuroradiol20: 1465–1466, 1999.
9.
WeberWHenkesH: Cure of a Direct Carotid Cavernous Fistula by Endovascular Stent Deployment. Cerebrovasular Diseases12: 272–275, 2001.
10.
KocerNKizilkilicO: Treatment of Iatrogenic Internal Carotid Artery Laceration and Carotid Cavernous Fistula with Endovascular Stent-Graft PlacementAm J Neuroradiol23: 442–446, 2002.
11.
CelilCocerEnginDursum: Intractable epistaxis related to cavernous carotid artery pseudoaneurysm: Treatment of a case with covered stent. Auris Nasus Larynx31: 275–278, 2004.
12.
ElsnerMAuch-SchwelkW: Coronary Stent-Graft Covered by a Polytetrafluoroethylene Membrane. Am J Cardiology84: 335–338, 1999.
13.
Carotid Artery Balloon Test Occlusion. Am J Neuroradiol22 (8 Suppl): S8–9, 2001.
