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ARTICLE

Management of a Rare Complication of Endovascular Treatment of Direct Carotid Cavernous Fistula

Serra Sencer,a, Özenç Minarecia and Arzu Poyanlia

a From the Department of Radiology, Istanbul Faculty of Medicine, Istanbul, Turkey.

Summary: A 30-year-old woman with direct carotid cavernous fistula underwent endovascular treatment with detachable balloons via a transarterial route. The patient returned with diplopia 1 year after therapy. On cranial MR imaging, one of the balloons was detected in the proximal portion of the superior ophthalmic vein and was deflated percutaneously with a 22-gauge Chiba needle under CT guidance. The patient's symptoms resolved after balloon deflation. This case report presents a unique complication of endovascular treatment of direct carotid cavernous fistula and its management.




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J. Klisch, J. Schipper, H. Husstedt, R. Laszig, and M. Schumacher
Transsphenoidal Computer-navigation-assisted Deflation of a Balloon after Endovascular Occlusion of a Direct Carotid Cavernous Sinus Fistula
AJNR Am. J. Neuroradiol., March 1, 2001; 22(3): 537 - 540.
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