Regression of an internal carotid artery pseudoaneurysm after therapeutic embolization of a post-traumatic carotid-cavernous fistula secondary to gunshot injury

Mori, Sara; Feliciani, M.; Guglielmi, Guido; Guidetti, G; Dazzi, M.; Silipo, P

doi:10.1007/bf00589117

Cited by 9 publications

(3 citation statements)

References 14 publications

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“…Rupture of a preexisting small aneurysm, triggered by the rupture caused by the trauma, may also have occurred. However, the small aneurysm decreased in size one year later, indicating that it was not a true aneurysm but a pseudoaneurysm 14 . Endovascular closure is the treatment of choice in direct CCF.…”

Section: Discussionmentioning

confidence: 93%

Spontaneous Thrombosis of a High-Flow Carotid-Cavernous Fistula after Failed Transarterial Balloon Occlusion

Uchino

Takase²,

Koizumi

et al. 2004

Interv Neuroradiol

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A 62-year-old man with a traumatic high-flow right carotid-cavernous fistula was treated by transarterial balloon occlusion technique. However, because of the relatively small size of the fistula, the balloon could not enter into the cavernous sinus via the fistula. During the procedure, the shunt flow decreased significantly, and we stopped the procedure. Follow-up angiography performed 14 days after the procedure showed complete occlusion of the fistula with a small residual pseudoaneurysm. One year later, the pseudoaneurysm had decreased in size. Repeated transient decrease and stagnancy of blood flow at the fistula during the balloon procedure may have played an important role in the thrombosis in this patient.

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Section: Discussionmentioning

confidence: 93%

Spontaneous Thrombosis of a High-Flow Carotid-Cavernous Fistula after Failed Transarterial Balloon Occlusion

Uchino

Takase²,

Koizumi

et al. 2004

Interv Neuroradiol

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“…The exact mechanism of spontaneous occlusion of CCF in this case is uncertain, but the thrombogenicity of contrast media and the catheterization precedure itself could be related with the occlusion of shunts. The natural history of pseudoaneurysm after spontanous occlusion of traumatic CCF is controversial 4,9,11,12,16,18,19,22) . Even though spontaneous regression could be possible, they also could cause cerebral embolism and ischemic event, enlargement and recanalization 22) .…”

Section: Case Reportmentioning

confidence: 99%

“…The natural history of pseudoaneurysm after spontanous occlusion of traumatic CCF is controversial 4,9,11,12,16,18,19,22) . Even though spontaneous regression could be possible, they also could cause cerebral embolism and ischemic event, enlargement and recanalization 22) . In our case, the psueudoaneurysm enlarged significantly after two months which was managed neuroform 2) stent assisted coiling suscessfully 1,3,6,14) .…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous Occlusion of Traumatic Carotid Cavernous Fistula with Pseudoaneurysm Formation-management with Neuroform Stent and Coiling: A Case Report

Cho

Kim

et al. 2006

J Korean Neurotraumatol Soc

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We experienced a case of traumatic carotid cavernous fistula (CCF) which was occluded spontaneously within 7 days after transfemoral carotid angiography with complete disapperance of symtoms. Traumatic CCF is almost always type A and known to rarely resolves spontaneously. The suggested mechanism of spontaneous occlusion were manual compression of carotid artery, hypotension during percutaneous or open direct carotid angiography under general anesthesia in the past as well as thrombogenicity of iodinated contrast media and catheterization procedure itself are more related with recent transfemoral carotid angiography. The pseudoaneurysm managed with coil or balloon should be frequently followed up due to compaction by the surrounding thrombus.

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Myelopathy due to large veins draining recurrent spontaneous caroticocavernous fistula

Narita¹,

Watanabe²,

Hoshino³

et al. 1992

Neuroradiology

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A 45-year-old woman developed a myelopathy 9 years after a spontaneous left caroticocavernous fistula (CCF) was treated by a trapping procedure, with clipping distal to the fistula and ligation of the common carotid artery. Spinal MRI and vertebral angiography revealed recurrence of the CCF and gigantic tortuous veins draining through the brain stem down to the midcervical spinal cord. The abnormal veins and myelopathy disappeared after surgical closure of the CCF.

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Regression of an internal carotid artery pseudoaneurysm after therapeutic embolization of a post-traumatic carotid-cavernous fistula secondary to gunshot injury

Cited by 9 publications

References 14 publications

Spontaneous Thrombosis of a High-Flow Carotid-Cavernous Fistula after Failed Transarterial Balloon Occlusion

Spontaneous Thrombosis of a High-Flow Carotid-Cavernous Fistula after Failed Transarterial Balloon Occlusion

Spontaneous Occlusion of Traumatic Carotid Cavernous Fistula with Pseudoaneurysm Formation-management with Neuroform Stent and Coiling: A Case Report

Myelopathy due to large veins draining recurrent spontaneous caroticocavernous fistula

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