Interventional treatment of traumatic carotid-cavernous fistula: A case report. Issue 52 (30th December 2022)

• Record Type: Journal Article
• Authors: Wang, Jiabin; Shen, Xiaoming; Miao, Niu; Yang, Guofang; Zhang, Mingqin; Yang, Dongyi; Liu, Yangyang; Wu, Tao
• Is Part Of: Medicine. Volume 101:Issue 52(2022)
• Page Start: e32265
• Publication Date: 2022-12-30
• Subjects: cavernous fistula -- covered stent -- interventional treatment -- traumatic carotid; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000032265
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Rationale: Patients with traumatic carotid-cavernous fistula (TCCF) usually go to the ophthalmology department first because of the symptoms such as protrusion of eyes, edema and congestion of combined membrane, vision loss and so on. It is easy to be misdiagnosed and missed. Patient concerns: We report a case of left eye swelling and vision loss caused by TCCF after head injury due to traffic accident, which failed to respond to ophthalmic treatment for many times. The similar situation is very likely to cause panic among patients. Diagnosis: Cerebral angiography revealed left internal carotid-cavernous fistula (high flow type). Interventions: Left internal carotid artery covered stent implantation was performed. Outcomes: The fistulas and the original venous mass were completely covered by the covered stent, and the development of the vascular mass disappeared. The patient's eye symptoms basically disappeared 14 days after the operation. Lessons: Interventional treatment of TCCF is effective.