Carotid Cavernous Fistula During Thrombectomy for Acute Ischemic Stroke: A Case Report

Overview

Journal J Neuroendovasc Ther

Specialty Neurology

Date 2023 Jul 28

PMID 37502789

Authors

Keiichi Tsuji

Atsushi Tsuji

Yayoi Yoshimura

Nobuhiro Ogawa

Takuya Nakazawa

Kazuhiko Nozaki

Affiliations

Soon will be listed here.

Abstract

Objective: We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS).

Case Presentation: An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance at the medial C4 while the microguidewire was guided distally, and a CCF was found after deploying and retrieving the stent. It was thought to have been caused by perforation due to intracranial atherosclerotic stenosis of the internal carotid artery.

Conclusion: During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.

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