Reconstruction of traumatic carotidcavernous fistula using a covered stent
10.7461/jcen.2025.E2025.05.004
- Author:
Julio CALDERON
1
;
Ravi SHASTRI
;
Guhanand VENKATARAMAN
;
Mohadese AHMADZADE
;
Mohammad GHASEMI-RAD
Author Information
1. Department of Radiology, Baylor College of Medicine, Houston, Texas, 7730, United States
- Publication Type:Case Report
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2025;27(4):380-384
- CountryRepublic of Korea
- Language:English
-
Abstract:
A traumatic carotid-cavernous fistula (CCF) is a significant neurovascular condition characterized by an abnormal connection between the carotid artery and the cavernous sinus, often resulting from head trauma. This condition can lead to serious complications, necessitating effective management strategies. Endovascular treatment is the preferred approach for managing this condition. We present a case of a 23-year-old male with persistent left eye pain and redness seven months post-motor vehicle collision. Cerebral angiography confirmed a high-flow CCF with compromised intracranial flow, successfully treated with a 5 mm PK Papyrus covered stent using a novel tri-axial delivery system. This case highlights the efficacy of covered stents in neurovascular interventions and introduces an innovative approach for deploying a large-diameter stent across the cavernous internal carotid artery.
