Carotid‐cavernous fistula after endovascular intervention for chronic carotid artery total occlusion

Carotid‐cavernous fistula after endovascular intervention for chronic carotid artery total... AbbreviationsCAOcarotid artery occlusionCCFcarotid‐cavernous fistulaCTcomputed tomographyCTPCT perfusionICAinternal carotid arteryICHintracranial hemorrhageOAophthalmic arterySAHsub‐arachnoid hemorrhageTICIthrombolysis in cerebral infarctionINTRODUCTIONDespite intensive medical treatment, patients with chronic carotid artery occlusion (CAO) are still exposed to an annual risk of 5.3% for all strokes and 3.8% for ipsilateral stroke . Moreover, the risk of stroke in CAO patients with objective cerebral perfusion impairment could be as high as 30% in 3 years . Endovascular treatment of CAO has been shown feasible , and successful recanalization may improve cerebral perfusion and neuro‐cognitive function . However, CAO recanalization is still controversial and technically challenging, with potential complications of peri‐procedural stroke, intracranial hemorrhage (ICH) or subarachnoid hemorrhage (SAH), pseudo‐aneurysm formation, and carotid‐cavernous fistula (CCF) . Established symptomatic CCF, such as diplopia, ptosis and loss of visual acuity, associated with head and facial trauma or surgery usually requires endovascular therapy for treatment. However, the manifestation and management of iatrogenic CCF during CAO endovascular recanalization have not been well described in the literature. Therefore, we performed a retrospective analysis on our database regarding these important issues.MATERIALS AND METHODSPatient selectionWe conducted a retrospective analysis of consecutive de novo CAO recanalization procedures performed from October 2004 to April 2015 in National Taiwan University Hospital http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Catheterization and Cardiovascular Interventions Wiley

Carotid‐cavernous fistula after endovascular intervention for chronic carotid artery total occlusion

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
1522-1946
eISSN
1522-726X
D.O.I.
10.1002/ccd.27392
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsCAOcarotid artery occlusionCCFcarotid‐cavernous fistulaCTcomputed tomographyCTPCT perfusionICAinternal carotid arteryICHintracranial hemorrhageOAophthalmic arterySAHsub‐arachnoid hemorrhageTICIthrombolysis in cerebral infarctionINTRODUCTIONDespite intensive medical treatment, patients with chronic carotid artery occlusion (CAO) are still exposed to an annual risk of 5.3% for all strokes and 3.8% for ipsilateral stroke . Moreover, the risk of stroke in CAO patients with objective cerebral perfusion impairment could be as high as 30% in 3 years . Endovascular treatment of CAO has been shown feasible , and successful recanalization may improve cerebral perfusion and neuro‐cognitive function . However, CAO recanalization is still controversial and technically challenging, with potential complications of peri‐procedural stroke, intracranial hemorrhage (ICH) or subarachnoid hemorrhage (SAH), pseudo‐aneurysm formation, and carotid‐cavernous fistula (CCF) . Established symptomatic CCF, such as diplopia, ptosis and loss of visual acuity, associated with head and facial trauma or surgery usually requires endovascular therapy for treatment. However, the manifestation and management of iatrogenic CCF during CAO endovascular recanalization have not been well described in the literature. Therefore, we performed a retrospective analysis on our database regarding these important issues.MATERIALS AND METHODSPatient selectionWe conducted a retrospective analysis of consecutive de novo CAO recanalization procedures performed from October 2004 to April 2015 in National Taiwan University Hospital

Journal

Catheterization and Cardiovascular InterventionsWiley

Published: Jan 1, 2018

Keywords: ; ; ; ; ;

References

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