Simultaneous subarachnoid hemorrhage and carotid cavernous fistula after rupture of a paraclinoid aneurysm during balloon-assisted coil embolization

AJNR Am J Neuroradiol. 1999 Jun-Jul;20(6):1100-2.

Abstract

We describe an iatrogenic perforation of a paraclinoid aneurysm during balloon-assisted coil embolization that resulted in simultaneous subarachnoid contrast extravasation and a carotid cavernous fistula. The causative factors specifically related to the balloon-assisted method that led to aneurysm rupture are discussed as well as strategies for dealing with this complication.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, Ruptured / diagnostic imaging
  • Aneurysm, Ruptured / etiology*
  • Arteriovenous Fistula / etiology
  • Carotid Artery Diseases / etiology
  • Carotid Artery Diseases / therapy*
  • Cavernous Sinus / abnormalities
  • Cavernous Sinus / diagnostic imaging
  • Cerebral Angiography
  • Embolization, Therapeutic / adverse effects*
  • Female
  • Humans
  • Iatrogenic Disease*
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / therapy*
  • Subarachnoid Hemorrhage / etiology