ABSTRACT
We report a case of an unruptured, symptomatic, large right cavernous internal carotid artery aneurysm successfully treated with a new balloon-expandable flow diverter - Xcalibur Aneurysm Occlusion Device (AOD). Follow up imaging performed at six months demonstrated complete exclusion of the aneurysm and regression in dimensions, resulting in resolution of mass effect and clinical improvement.
Subject(s)
Carotid Artery Diseases/therapy , Carotid Artery, Internal , Intracranial Aneurysm/therapy , Stents , Carotid Artery Diseases/diagnostic imaging , Cerebral Angiography , Female , Humans , Intracranial Aneurysm/diagnostic imaging , Magnetic Resonance Imaging , Middle Aged , Platelet Aggregation Inhibitors/therapeutic use , Prosthesis Design , Tomography, X-Ray ComputedABSTRACT
We report the first case of a post-traumatic direct carotid cavernous fistula (CCF) treated with the XCalibur aneurysm occlusion device, which is a balloon mounted stent with flow diversion effect. Two devices were deployed across the fistula in an overlapping manner, resulting in complete occlusion of the fistula. Flow diversion with this device can provide a safe and alternative treatment option in direct CCF.
