The Emergency Coil Embolization of Iatrogenic Injury to Carotid with Supraclinoid Pseudoaneurysm and Carotid Cavernous Fistula: A Case Report

Authors

  • Shivaji Pole, Department of Interventional Radiologist, MGM Medical College and Hospital, Aurangabad, Maharashtra, India
  • Jyoti Taneja Department of General Surgery and Cancer, Mid Cheshire Hospitals, Leighton Hospital, Crewe, UK
  • Ishtiyaque Ansari Department of Neurosurgery, MGM Medical College and Hospital, Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.17140/ROJ-5-133

Keywords:

Coil embolization, Traumatic cerebral pseudoaneurysm, Carotid cavernous-fistula

Abstract

Carotid cavernous fistulae (CCF) are unique communication between the cavernous segment of the internal carotid artery (ICA)
and the cavernous sinus. CCF are rare and result from traumatic skull base fractures (0.2-0.8%). CCF resulting from iatrogenic
intradural traumatic aneurysms are not common, and they are hard to treat using a surgical approach. This report presents the
case of a female patient with iatrogenic CCF, which resulted from proximal ICA injury. The CCF was successfully treated using
the endovascular coil embolization. The patient has reported improvement in her vision, one-year follow-up routine has indicated
no recurrence with this technique.

References

Liang W, Xiaofeng Y, Weiguo L, Wusi Q, Gang S, Xuesheng Z. Traumatic carotid cavernous fistula accompanying basilar skull fracture: A study on the incidence of traumatic carotid cavernous Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 5 | Issue 1| Taneja J et al fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula. The Journal of Trauma: Injury, Infection, and Critical Care. 2007; 63(5): 1014-1020. doi: 10.1097/TA.0b013e318154c9fb

Reddy SV, Sundt TM Jr. Giant traumatic false aneurysm of the internal carotid artery associated with a carotid-cavernous fis-tula. Case report. J Neurosurg. 1981; 55: 813-818. doi: 10.3171/ jns.1981.55.5.0813

Benoit BG, Wortzman G. Traumatic cerebral aneurysms. Clinical features and natural history. J Neurol Neurosurg Psychiatry. 1973; 36: 127-138. doi: 10.1136/jnnp.36.1.127

Waga S, Kojima T. Association of carotid-cavernous fistula and traumatic aneurysm of the internal carotid artery – Report of two cases (author’s transl). No Shinkei Geka. 1979; 7: 933-938.

Lister JR, Sypert GW. Traumatic false aneurysm and carotid-cavernous fistula: A complication of sphenoidotomy. Neurosurgery. 1979; 5: 473-475. doi: 10.1227/00006123-197910000-00012

Sirakov S, Panayotova A, Sirakov A, Minkin K, Hristov H. De-layed intranasal coil extrusion after internal carotid artery pseudoa-neurysm embolization. Interv Neuroradiol. 2018; 25(2): 139-143. doi: 10.1177/1591019918805151

Pozzati E, Gaist G, Servadei F. Traumatic aneurysms of the su-praclinoid internal carotid artery. J Neurosurg. 1982; 57: 418-422. doi: 10.3171/jns.1982.57.3.0418

Patel A, Horton T, Kalapos P, Cockroft K. Onyx-HD 500 em-bolization of a traumatic internal carotid artery pseudoaneurysm after transsphenoidal surgery. J Neuroimaging. 2015; 25(4): 656-659. doi: 10.1111/jon.12221

Williams ZR. Carotid-cavernous fistulae. International Ophthalmol-ogy Clinics. 2018; 58(2): 271-294.

Cho JH, Jung C, Sheen SH, Kwon BJ, Hee Han M. Traumatic carotid cavernous fistula caused by intradural aneurysm rupture: A case report. Neurointervention. 2006; 10: 39-43.

Karanam LS, Alurkar AB, Natarajan M, Pugazhenthi B. En-dovascular coil occlusion of traumatic intradural aneurysm with presentation as carotid cavernous fistula. J Clin Imaging Sci. 2014; 4: 11. doi: 10.4103/2156-7514.127961

Downloads

Published

2021-12-09

How to Cite

Shivaji Pole, Jyoti Taneja, & Ishtiyaque Ansari. (2021). The Emergency Coil Embolization of Iatrogenic Injury to Carotid with Supraclinoid Pseudoaneurysm and Carotid Cavernous Fistula: A Case Report. Radiology, 5(1), 1–3. https://doi.org/10.17140/ROJ-5-133