Indirect carotid-cavernous sinus fistula following mechanical thrombectomy: A case report of a rare iatrogenic injury with progressive presentation.

ABSTRACT:

Introduction

With the increasingly common operation of mechanical thrombectomy (MT) in acute cerebral infarction cases, iatrogenic CCFs were occasionally reported. All of cases reported type A CCFs, and patients were presented with either asymptom from generation of fistula to duration of postoperative follow-up or distinct presentations at once after MT.

Case presentation

A 48-year-old postmenopausal female, without history of systemic hypertension and diabetes mellitus, underwent an operation of MT outside our institution about half a year ago. An intraoperative DSA showed an iatrogenic low-flow fistula between meningohypophyseal trunk and ICA. After 4 mouths' postoperative conservative observation, patient's presentation progressed from asymptom to serious optic signs. Th

SUBMITTER: Li S 

PROVIDER: S-EPMC9422048 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature