Intracranial stent placement for the treatment of a carotid-cavernous fistula associated with intracranial angioplasty: Case report

Stanley H. Kim, Adnan I. Qureshi, Alan S. Boulos, Bernard R. Bendok, Elad I. Levy, Abutaher M. Yahia, Lee R. Guterman, L. Nelson Hopkins

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

The authors report a case of an iatrogenic carotid-cavernous fistula (CCF) associated with intracranial angioplasty. Angioplasty was performed using a 3 X 10-mm Open Sail coronary balloon in a patient with high-grade stenosis of the left cavernous internal carotid artery (ICA). After angioplasty, a perforation developed in the cavernous ICA, resulting in a CCF. A 3.5 X 9-mm S670 coronary stent was used to treat the fistula. To the authors' knowledge, this is the first reported case in which a CCF developed after angioplasty was performed using a coronary balloon. Long-term angiographic and clinical evaluation is needed to test the suitability and durability of intracranial angioplasty and stent placement in the treatment of symptomatic intracranial stenosis.

Original languageEnglish (US)
Pages (from-to)1116-1119
Number of pages4
JournalJournal of neurosurgery
Volume98
Issue number5
DOIs
StatePublished - May 1 2003

Keywords

  • Angioplasty
  • Carotid-cavernous fistula
  • Intracranial stenosis
  • Stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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