RESUMO
This report describes two cases of post-traumatic, high flow carotid-cavernous fistulas that demonstrated residual shunting after initial embolization with coils and Onyx, and that were successfully closed with pipeline embolization devices. Following their combined endovascular treatments, the patients experienced clinical improvement of symptoms with durable obliteration of the fistulous communications.
Assuntos
Fístula Carótido-Cavernosa/terapia , Embolização Terapêutica/métodos , Stents , Acidentes por Quedas , Adulto , Angiografia , Artéria Carótida Interna/diagnóstico por imagem , Fístula Carótido-Cavernosa/diagnóstico por imagem , Fístula Carótido-Cavernosa/etiologia , Combinação de Medicamentos , Traumatismos Faciais/complicações , Traumatismos Faciais/diagnóstico por imagem , Humanos , Masculino , Inibidores da Agregação Plaquetária/uso terapêutico , Polivinil , Tantálio , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ferimentos por Arma de Fogo , Adulto JovemRESUMO
This report describes two cases of post-traumatic, high flow carotid-cavernous fistulas that demonstrated residual shunting after initial embolization with coils and Onyx, and that were successfully closed with pipeline embolization devices. Following their combined endovascular treatments, the patients experienced clinical improvement of symptoms with durable obliteration of the fistulous communications.
