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- Title
Recurrent Carotid Cavernous Fistula Originating from a Giant Cerebral Aneurysm after Placement of a Covered Stent.
- Authors
Jung Wook Baek; Sung Tae Kim; Young Seo Lee; Young-Gyun Jeong; Hae Woong Jeong; Jin Wook Baek; Jung Hwa Seo
- Abstract
We report the case of a recurrent carotid cavernous fistula (CCF) originating from a giant cerebral aneurysm (GCA) after placement of a covered stent. A 47-year-old woman presented with sudden onset of severe headache, and left-sided exophthalmos and ptosis. Cerebral angiography revealed a CCF caused by rupture of a GCA in the cavernous segment of the left internal carotid artery. Two covered stents were placed at the neck of the aneurysm. The neurological symptoms improved at first, but were aggravated in the 6 months following the treatment. Contrast agent endoleak was seen in the distal area of the stent. Even though additional treatments were attempted via an endovascular approach, the CCF could not be cured. However, after trapping the aneurysm using coils and performing superficial temporal artery-middle cerebral artery bypass, the neurological symptoms improved. In cases of recurrent CCF originating from a GCA after placement of a covered stent, it is possible to treat the CCF by endovascular trapping and surgical bypass.
- Subjects
INTRACRANIAL aneurysm diagnosis; ENDOVASCULAR surgery; ARTERIOVENOUS fistula; TREATMENT effectiveness
- Publication
Journal of Cerebrovascular & Endovascular Neurosurgery, 2016, Vol 18, Issue 3, p306
- ISSN
2234-8565
- Publication type
Case Study
- DOI
10.7461/jcen.2016.18.3.306