Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke

Nima Alan; Enyinna Nwachuku; Tudor J. Jovin; Brian T. Jankowitz; Ashutosh P. Jadhav; Andrew F. Ducruet

doi:10.1016/j.wneu.2017.01.112

Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke

Nima Alan
, Enyinna Nwachuku
, Tudor J. Jovin
, Brian T. Jankowitz
, Ashutosh P. Jadhav
, Andrew F. Ducruet

Department of Neurosurgery

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.

Original language	English (US)
Pages (from-to)	710.e15-710.e20
Journal	World Neurosurgery
Volume	100
DOIs	https://doi.org/10.1016/j.wneu.2017.01.112
State	Published - Apr 1 2017

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1016/j.wneu.2017.01.112

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title = "Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke",

abstract = "Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.",

author = "Nima Alan and Enyinna Nwachuku and Jovin, \{Tudor J.\} and Jankowitz, \{Brian T.\} and Jadhav, \{Ashutosh P.\} and Ducruet, \{Andrew F.\}",

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AU - Alan, Nima

AU - Nwachuku, Enyinna

AU - Jovin, Tudor J.

AU - Jankowitz, Brian T.

AU - Jadhav, Ashutosh P.

AU - Ducruet, Andrew F.

PY - 2017/4/1

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N2 - Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.

AB - Traumatic carotid cavernous fistula may occur as a complication of endovascular treatment of acute stroke. We report 3 cases of such lesions. All patients were initially managed conservatively. Two patients have remained asymptomatic. One patient became symptomatic with right eye proptosis, chemosis, and right lateral gaze diplopia 3 weeks post thrombectomy. He underwent endovascular embolization via transfemoral transvenous approach via the inferior ophthalmic vein.

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JO - World Neurosurgery

JF - World Neurosurgery

ER -

Management of Iatrogenic Direct Carotid Cavernous Fistula Occurring During Endovascular Treatment of Stroke

Abstract

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