The treatment of symptomatic carotid-cavernous fistulas [CCF] has been historically treated in the developed world through the endovascular route. We report our first case of using a covered stent in a patient with spontaneous CCF. Method: Single patient with spontaneous indirect high flow CCF treated with a covered stent. We present retrospective analysis of technical success, initial and 6-month follow-up angiography and clinical outcome. Result: The stent was successfully navigated and deployed covering the CCF orifice. Immediate post stent deployment angiography showed marked reduction in flow and complete occlusion at 6-months. Clinically, patient showed near-complete recovery at 6 months. Conclusion: With proper neuroendovascular training and experience, use of a covered stent is cost effective and feasible for the treatment of CCFs in under developed countries.
Bashir, Qasim and Nabi Ahmed, Hina
"Endovascular treatment of spontaneous indirect high flow carotid cavernous fistula with a covered stent.,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 9
, Article 12.
Available at: http://ecommons.aku.edu/pjns/vol9/iss4/12