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- Title
Delayed coil migration into oropharynx following endovascular coiling of a traumatic carotid cavernous fistula: management considerations.
- Authors
Rebchuk, Alexander D.; Gooderham, Peter A.; Okhovat, Saleh; Janjua, Arif S.; Heran, Manraj K. S.
- Abstract
Carotid-cavernous fistulas (CCFs) are abnormal vascular shunts between the carotid artery and the cavernous sinus. A 37-year-old male presented with a traumatic CCF and basal skull fracture extending through the medial wall of the cavernous sinus and sphenoid sinus. The CCF was treated with endovascular coiling. Three months after this procedure, he was found to have coil migration through the traumatic sphenoid defect into the pharynx. He underwent urgent endonasal endoscopic surgery to disconnect and remove the extruded coil. Post-operative coil migration is a rare but serious complication following endovascular treatment of traumatic CCF.
- Subjects
OROPHARYNX; SPHENOID sinus; CAVERNOUS sinus; ENDOVASCULAR surgery; FISTULA; CAROTID endarterectomy; ENDOSCOPIC surgery
- Publication
Acta Neurochirurgica, 2022, Vol 164, Issue 5, p1287
- ISSN
0001-6268
- Publication type
Case Study
- DOI
10.1007/s00701-021-05087-5