1.Willis covered stent in the treatment of traumatic carotid cavernous fistulae:a report of 7 cases
Yanting GAI ; Shubin TAN ; Muhua GONG ; Fangqiang PENG ; Wei WANG ; Yanjiang LI ; Mindi LIU ; Xuejun ZHANG ; Ran ZENG ; Donglei SONG
International Journal of Cerebrovascular Diseases 2018;26(12):908-911
Objective To evaluate the efficacy and safety of Willis covered stent in the treatment of traumatic carotid cavernous fistulae (tCCF).Methods The imaging and clinical data of 7 patients with tCCF treated with Willis covered stent in Shanghai Punan Hospital from November 2015 to June 2018 were analyzed retrospectively.Results Seven Willis covered stent were used in 7 patients.Immediately after stent release,angiography showed that the fistulae completely disappeared in 6 cases.One patient had a small amount of endoleak,and there was still a small amount of endoleaks after balloon dilatation.It was not further treated.There were no operative complications.During 3-12 months follow-up,no new neurological deficits were found in all patients.Angiographic follow-up of 2 patients showed that the fistulae completely disappeared without recurrence.The internal carotid arteries were patent,no in-stent stenosis and stent displacement.Conclusions Wills covered stent can be used as a treatment for tCCF.Its efficacy is satisfactory and the safety is good.
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