Carotid-cavernous sinus fistula following mechanical thrombectomy in acute ischaemic stroke: a rare complication.

Publication

Carotid-cavernous sinus fistula following mechanical thrombectomy in acute ischaemic stroke: a rare complication.

Journal Paper/Review - Mar 23, 2021

Grüter Basil, Kahles Timo, Añon Javier, Berberat Jatta, Andereggen Lukas, Killer H E, Philipp Gruber

Citation

Grüter B, Kahles T, Añon J, Berberat J, Andereggen L, Killer H, Philipp G. Carotid-cavernous sinus fistula following mechanical thrombectomy in acute ischaemic stroke: a rare complication. Neuroradiology 2021; 63:1149-1152.

Type

Journal Paper/Review (English)

Journal

Neuroradiology 2021; 63

Publication Date

Mar 23, 2021

Issn Electronic

1432-1920

Pages

1149-1152

Brief description/objective

Carotid-cavernous sinus fistulas (CCFs) are abnormal communications between the internal carotid artery (ICA) and the cavernous sinus (CS). Direct CCFs are associated with trauma or are iatrogenic complications of neuroendovascular procedures. Meanwhile, mechanical endovascular thrombectomy (MT) in acute ischaemic stroke (AIS) patients with large vessel occlusion (LVO) has been established as a common treatment approach. However, MT is not without its risks of complications, and only a few reports exist on CCF occurring after MT. Here, we present a case of a 63-year-old patient with iatrogenic high-flow CCF of the right horizontal cavernous ICA segment (C4) following repeated MT due to LVO of the middle cerebral artery, and the recent literature is reviewed.