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- Title
Treatment of Post-Traumatic Carotid-Cavernous Fistulas with the Willis Covered Stent: A Preliminary Prospective Study.
- Authors
WANG, Y.-L.; MA, J.; DING, P.-X.; LI, Y.-D.; HAN, X.-W.; WU, G.
- Abstract
We describe our preliminary experience on the feasibility of using the Willis covered stent in patients with carotid-cavernous fistulas (CCFs). Eleven consecutive patients with post-traumatic CCFs referred for treatment with Willis covered stents were enrolled into this prospective study, and were subsequently followed-up at our hospital. Data on technical success, initial and final angiographic results, mortality, morbidity and final clinical outcome, was collected, with follow-up performed at one, three, six and 12 months, and yearly thereafter. Deployment of the covered stents was technically successful in all patients. Angiographic results following stent placement showed a complete occlusion in eight patients with ten CCFs, and an incomplete occlusion in three. No adverse events occurred either during or after the procedure. Angiographic follow-up (mean 14.73 ± 6.77 months) revealed complete occlusion and no obvious in-stent stenosis in all patients. Clinical follow-up (mean 17.73 ± 6.48 months) demonstrated full recovery in ten patients, and improvement in one. These preliminary results indicate that the use of the Willis covered stent is a feasible procedure, and that it may therefore serve as an alternative treatment for CCFs. Longer follow-up assessments and an expanded clinical trial are needed.
- Subjects
FISTULA; SURGICAL stents; ENDOVASCULAR surgery; HUMAN abnormalities; LONGITUDINAL method; ANGIOGRAPHY; PATIENTS
- Publication
Interventional Neuroradiology, 2012, Vol 18, Issue 2, p172
- ISSN
1591-0199
- Publication type
Article
- DOI
10.1177/159101991201800208