Simultaneous subarachnoid hemorrhage and carotid cavernous fistula after rupture of a paraclinoid aneurysm during balloon-assisted coil embolization.
نویسندگان
چکیده
We describe an iatrogenic perforation of a paraclinoid aneurysm during balloon-assisted coil embolization that resulted in simultaneous subarachnoid contrast extravasation and a carotid cavernous fistula. The causative factors specifically related to the balloon-assisted method that led to aneurysm rupture are discussed as well as strategies for dealing with this complication.
منابع مشابه
Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm.
Intracavernous carotid artery aneurysms causing a carotid-cavernous fistula (CCF) are rare. These aneurysms usually cause neurological symptoms due to gradual expansion without rupture. If they do rupture they most often lead to a CCF instead of bleeding into the subarachnoid space. A patient is described with a ruptured intracavernous aneurysm causing a CCF resulting in acute onset of unilater...
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common internal carotid artery (ICA) -basilar artery anastomosis with an incidence between 0.1% and 0.3% (1). Anomalous cerebellar artery originating from the PTA has rarely been reported (2, 3). Rarely when an aneurysm is combined and ruptures into the cavernous sinus, spontaneous trigeminal-cavernous fistula can develop, which is usually treated by transarterial detachable balloon embolizatio...
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A delayed aneurysm rupture after flow diverter therapy is a rare but serious complication. Due to the anatomical specificity, a delayed rupture of a carotid cavernous aneurysm may cause a direct carotid cavernous fistula (dCCF). We present a novel therapeutic approach for treatment of dCCF after flow diverter therapy using the Pipeline embolization device (PED). An 86-year-old woman suffered fr...
متن کاملTransarterial balloon-assisted n-butyl-2-cyanoacrylate embolization of direct carotid cavernous fistulas.
BACKGROUND AND PURPOSE Transarterial detachable balloon embolization of direct carotid cavernous fistulas (DCCFs) has become an optimal treatment. In a few cases, the parent artery has to be sacrificed to achieve morphologic cure. We present our experience with transarterial balloon-assisted n-butyl-2-cyanoacrylate (n-BCA) embolization of DCCFs in which there was failure to achieve angiographic...
متن کاملLethal Subarachnoid Hemorrhage after Successful Endovascular Embolization of a Traumatic Carotid Cavernous Fistula: a complication report
A 35-year-old male experienced the rapid development of left pulsatile exophthalmos and chemosis in the early course after craniofacial trauma. A high-flow direct carotid-cavernous fistula was found at diagnostic carotid angiography. After successful endovascular embolization of the fistula by balloon and coils, the patient developed a diffuse subarachnoid hemorrhage leading to death. We postul...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 20 6 شماره
صفحات -
تاریخ انتشار 1999