Endovascular treatment of direct carotid cavernous fistula resulting from rupture of intracavernous carotid aneurysm: A case report  

作　　者：Guang Ouyang Kai-Li Zheng Kuan Luo Mu Qiao Yuan Zhu De-Rui Pan 

机构地区：[1]Department of Neurosurgery,Puren Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430081,Hubei Province,China [2]Department of Neurosurgery,The Third Hospital of Wuhan,Wuhan 430081,Hubei Province,China

出　　处：《World Journal of Clinical Cases》2024年第11期1940-1946,共7页世界临床病例杂志

摘　　要：BACKGROUND Direct carotid cavernous fistulas(CCFs)are typically the result of a severe traumatic brain injury.High-flow arteriovenous shunts secondary to rupture of an intracavernous aneurysm,resulting in direct CCFs,are rare.The use of a pipeline embolization device in conjunction with coils and Onyx glue for treatment of direct high-flow CCF resulting from ruptured cavernous carotid artery aneurysm in a clinical setting is not well documented.CASE SUMMARY A 58-year-old woman presented to our department with symptoms of blepharoptosis and intracranial bruits for 1 wk.During physical examination,there was right eye exophthalmos and ocular motor palsy.The rest of the neurological examination was clear.Notably,the patient had no history of head injury.The patient was treated with a pipeline embolization device in the ipsilateral internal carotid artery across the fistula.Coils and Onyx were placed through the femoral venous route,followed by placement of the pipeline embolization device with assistance from a balloon-coiling technique.No intraoperative or perioperative complications occurred.Preoperative symptoms of bulbar hyperemia and bruits subsided immediately after the operation.CONCLUSION Pipeline embolization device in conjunction with coiling and Onyx may be a safe and effective approach for direct CCFs.

关 键 词：Intravascular therapy Carotid cavernous fistulas Intracavernous carotid aneurysms Case report 

分 类 号：R739.63[医药卫生—肿瘤]