Endovascular treatment of high-flow carotid-cavernous fistula secondary to rupture of a carotid-cavernous aneurysm post-flow diverter stent placement.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Fausto A Vásconez Muñoz, Manuel Moreu, Santiago Rosati, Jossué M Vásconez Muñoz
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引用次数: 0

Abstract

Carotid-cavernous aneurysms (CCAs) have the potential for growth, and their risk of rupture can lead to severe complications. Treatment is typically recommended to prevent these complications, with endovascular therapy being the preferred approach due to the challenging surgical access. This case presents a rare instance of rupture of a CCA that had been previously treated with a flow-diverting stent, which resulted in the development of a carotid-cavernous fistula, requiring venous access endovascular treatment. Our patient experienced persistent neurological deficits following treatment, specifically paralysis of the IV cranial nerve and palpebral ptosis, underscoring the complex nature of such cases and the potential for lasting complications despite intervention.

静脉分流支架置入后颈海绵状动脉瘤破裂继发高流量颈海绵状动脉瘘的血管内治疗。
颈海绵状动脉瘤(CCAs)具有生长的潜力,其破裂的风险可导致严重的并发症。通常建议治疗以预防这些并发症,由于具有挑战性的手术进入,血管内治疗是首选的方法。本病例报告了一例罕见的CCA破裂病例,该病例之前曾接受过分流支架治疗,导致颈动脉-海绵窦瘘的发展,需要静脉进入血管内治疗。我们的患者在治疗后经历了持续的神经功能缺损,特别是颅静脉神经麻痹和眼睑下垂,强调了此类病例的复杂性和尽管干预仍可能出现持久并发症。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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