Korean J Radiol.  2006 Sep;7(3):215-217. 10.3348/kjr.2006.7.3.215.

Occlusion of Traumatic Carotid Cavernous Fistula by Incidentally Formed Thrombus During the Interventional Procedure: A Case Report

• Whang K
• Lee MS
• Kim MS
• Lee JY
• Kwon W

• KMID: 1114356
• DOI: http://doi.org/10.3348/kjr.2006.7.3.215

Abstract

In this report, we present a rare case of traumatic carotid cavernous fistula that was occluded during the interventional procedure by incidentally formed blood clot. Sudden occlusion of the fistula and the resolution process of the precarious blood clot can be clearly seen on the serial angiogram.

Keyword

Carotid-Cavernous; Sinus Fistula; Interventional procedures

MeSH Terms

Vascular Surgical Procedures/*adverse effects
Treatment Outcome
Male
Incidental Findings
Humans
Craniocerebral Trauma/*complications
Carotid-Cavernous Sinus Fistula/etiology/*radiography/*surgery
Carotid Artery Thrombosis/*etiology/*radiography
Adult

Figure

• 

  Fig. 1 A 42-year-old male patient with post-traumatic carotidcavernous fistula. Enhanced orbital CT shows enlargement of the right superior ophthalmic vein and proptosis.

• 

  Fig. 2 Sudden occlusion of the fistula by an incidentally formed blood clot. A. On the ipsilateral compression angiogram, a small fistula (arrow) and venous drainage into the ophthalmic vein and cavernous sinus are noted. B. Occlusion of the fistula and protrusion of thrombus can be seen within the internal carotid artery lumen (arrow).

• 

  Fig. 3 On the serial follow-up angiograms done at one day and one week after the initial procedure, progressive resolution of the blood clot (arrow) is seen. A small remaining fistulous track (small arrow) is noted with delayed contrast stagnation.

Reference

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