Ces radiol. 2020, 74(2):98-102 | DOI: 10.55095/CesRadiol2020/018

Covered coronary stent implantation for the treatment of direct carotid-cavernous fistulaCase report

Jan Terč¹, Filip Cihlář¹, Robert Bartoš²

¹ Radiologická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní a.s., Masarykova nemocnice v Ústí nad Labem, o.z.

² Neurochirurgická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní a.s., Masarykova nemocnice v Ústí nad Labem, o.z.

In the last thirty years the primary terapeutic method for dealing with direct carotid-cavernous fistula (CCF) is endovascular treatment. Nowadays the preferred method of choice is closing the direct CCF with trombogenic coils through transarterial access. When taking into account the anatomy of our patient's fistula, its size and colateral circulation, we used a coronary stentgraft for closing the direct CCF - with which we achieved the immediate closure of the fistula. The developement of coronanary stentgrafts made with only one stent increases their flexibility, it makes them easier to implant and therefore this practice can become a more often used alternative to the classic method of treatment for the direct CCF.

Keywords: injury, carotid artery, carotido-cavernous fistula, endovascular treatment

Accepted: April 6, 2020; Published: June 1, 2020  Show citation