Treatment of Traumatic Direct Carotid-Cavernous Fistula with a BeGraft-Covered Stent
10.5469euroint.2024.00157
- Author:
Farid Qoorchi Moheb SERAJ
1
;
Sajjad NAJAFI
;
Amira Al RAAISI
;
Mohammad Hossein MIRBOLOUK
;
Feizollah EBRAHIMNIA
;
Hashem Pahlavan SHAMSI
;
Yousef GARIVANI
;
Samira ZABIHYAN
;
Ashkan MOWLA
;
Humain BAHARVAHDAT
Author Information
1. Department of Neurosurgical, Section of Neurovascular, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
- Publication Type:Case Series
- From:Neurointervention
2024;19(2):111-117
- CountryRepublic of Korea
- Language:EN
-
Abstract:
The widely accepted option for treating traumatic direct carotid-cavernous fistula (dCCF) has been endovascular treatment using detachable balloons, coils, or embolic agents. Covered stent deployment has been applied by a few operators and has shown promising results. This is a retrospective study on patients with dCCF treated by an endovascular approach using BeGraft, a covered stent. In 4 cases, this device was successfully deployed without any complications. Immediate complete occlusion was achieved in 3 patients (75%) after deployment of the covered stents. One patient required transvenous coiling for occlusion of the remaining endoleak. Follow-up imaging demonstrated 100% fistula occlusion with complete internal carotid artery patency. No early or late complications occurred following treatment. In conclusion, the BeGraft-covered stent could be a promising safe and effective alternative option for the endovascular treatment of dCCF.
