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Traumatic aneurysm of the supraclinoid internal carotid artery and an associated carotid–cavernous fistula: vascular reconstruction performed using intravascular implantation of stents and coils

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Author(s)
CHANG-YOUNG LEEMAN-BIN YIMIL-MAN KIMEUN-IK SONDONG-WON KIM
Keimyung Author(s)
Lee, Chang YoungYim, Man BinKim, ElSon, Eun IkKim, Dong Won
Department
Dept. of Neurosurgery (신경외과학)
Brain Research Institute (뇌연구소)
Journal Title
Journal of Neurosurgery
Issued Date
2004
Volume
100
Issue
1
Keyword
traumatic aneurysmcarotid–cavernous fistulaintravascular stentcoil embolization
Abstract
This report documents the treatment of a traumatic aneurysm of the supraclinoid internal carotid artery (ICA) that
was associated with a carotid–cavernous fistula (CCF), which appeared following closed head trauma. This life-threatening
lesion, which is very rare, required aggressive management achieved using intravascular stents and coils. A 19-
year-old man presented with severe traumatic intracerebral and subarachnoid hematoma after he had suffered a severe
closed head injury in a motor vehicle accident. Cerebral angiography performed 11 days after the injury demonstrated
a traumatic aneurysm and severe narrowing of the right supraclinoid ICA, which was consistent with a dissectioninduced
stenosis associated with a direct CCF. Both lesions were successfully obliterated with preservation of the
parent artery by using stents in conjunction with coils. Follow-up angiography obtained 7 months postoperatively revealed
persistent obliteration of the aneurysm and CCF as well as patency of the parent artery. The patient remained
asymptomatic during the clinical follow-up period of 14 months. Endovascular treatment involving the use of a stent
combined with coils appears to be a feasible, minimally invasive option for treatment of this hard-to-treat lesion.
KEY WORDS • traumatic aneurysm • carotid–cavernous fistula • intravascular stent •
coil embolization
Keimyung Author(s)(Kor)
이창영
임만빈
김엘
손은익
김동원
Publisher
School of Medicine
Citation
CHANG-YOUNG LEE et al. (2004). Traumatic aneurysm of the supraclinoid internal carotid artery and an associated carotid–cavernous fistula: vascular reconstruction performed using intravascular implantation of stents and coils. Journal of Neurosurgery, 100(1), 115–119.
Type
Article
ISSN
0022-3085
Source
http://thejns.org/doi/abs/10.3171/jns.2004.100.1.0115?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34510
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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