Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery

Daniela Iancu; Cheemum Lum; Muhammad E Ahmed; Rafael Glikstein; Marlise P Dos Santos; Howard Lesiuk; Mohamed Labib; Amin B Kassam

doi:10.1177/1591019915582367

Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery

Interv Neuroradiol. 2015 Jun;21(3):346-50. doi: 10.1177/1591019915582367. Epub 2015 May 26.

Authors

Daniela Iancu¹, Cheemum Lum², Muhammad E Ahmed², Rafael Glikstein², Marlise P Dos Santos², Howard Lesiuk³, Mohamed Labib³, Amin B Kassam³

Affiliations

¹ Department of Medical Imaging, Section of Neuroradiology, University of Ottawa, The Ottawa Hospital, Canada [email protected].
² Department of Medical Imaging, Section of Neuroradiology, University of Ottawa, The Ottawa Hospital, Canada.
³ Department of Surgery, Section of Neurosurgery, University of Ottawa, The Ottawa Hospital, Canada.

Abstract

We describe a case of iatrogenic carotid injury with secondary carotid-cavernous fistula (CCF) treated with a silk flow diverter stent placed within the injured internal carotid artery and coils placed within the cavernous sinus. Flow diverters may offer a simple and potentially safe vessel-sparing option in this rare complication of transsphenoidal surgery. The management options are discussed and the relevant literature is reviewed.

Keywords: Transsphenoidal surgery; carotid artery; carotid cavernous fistula; false aneurysm; pituitary mass.

Publication types

Case Reports

MeSH terms

Carotid Artery Injuries / diagnostic imaging
Carotid Artery Injuries / therapy*
Carotid Artery, Internal* / diagnostic imaging
Cerebral Angiography
Computed Tomography Angiography
Embolization, Therapeutic / methods*
Female
Humans
Iatrogenic Disease
Middle Aged
Sphenoid Bone / surgery*
Stents*