A direct carotid-cavernous fistula (CCF) is a rare complication that typically occurs in closed head injuries. The balloon-assisted occlusion is the most used treatment. However, this technique requires multiple inflation/deflations, which could be problematic in a vessel with acute vessel injury.

Background: A direct carotid-cavernous fistula (CCF) is a rare complication that typically occurs in closed head injuries. The balloon-assisted occlusion is the most used treatment. However, this technique requires multiple inflation/deflations, which could be problematic in a vessel with acute vessel injury. Case Description: In this study we reported a case of 72-year-old male patient with posttraumatic CCF, treated endovascularly with a transarterial Comaneci-assisted coiling embolization, highlighting the advantages and pitfalls of this innovative endovascular treatment. Conclusions: The Comaneci-assisted coiling technique has proven to be advantageous both in the microcatheterization of the CCF and during coiling with remodeling technique. In addition, this device does not interrupt the vascular flow compared to balloon-assisted coiling and does not require long-term antiaggregation therapy with respect to the stent placement.

Comaneci-Assisted Coiling Embolization of a Posttraumatic Carotid-Cavernous Fistula

Giorgianni, Andrea;Terrana, Alberto Vito;Vinacci, Gabriele;Nativo, Luca;Locatelli, Davide;
2020-01-01

Abstract

A direct carotid-cavernous fistula (CCF) is a rare complication that typically occurs in closed head injuries. The balloon-assisted occlusion is the most used treatment. However, this technique requires multiple inflation/deflations, which could be problematic in a vessel with acute vessel injury.
Carotid-cavernous; Coiling; Comaneci-assisted; Embolization; Endovascular; Fistula; Selective microcatheterization; Aged; Carotid-Cavernous Sinus Fistula; Embolization, Therapeutic; Head Injuries, Closed; Humans; Male; Blood Vessel Prosthesis
Giorgianni, Andrea; Agosti, Edoardo; Terrana, Alberto Vito; Vinacci, Gabriele; Nativo, Luca; Valvassori, Luca; Locatelli, Davide; Lanzino, Giuseppe
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2103498
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 2
social impact