Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Department of Neurology, Kantonsspital Aarau, Aarau, Switzerland.
Neuroradiology. 2021 Jul;63(7):1149-1152. doi: 10.1007/s00234-021-02695-x. Epub 2021 Mar 23.
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.
颈动脉海绵窦瘘（CCF）是指颈内动脉（ICA）和海绵窦（CS）之间异常连通。直接 CCF 与创伤有关，或是神经血管内介入操作的医源性并发症。同时，机械性血管内血栓切除术（MT）已被确立为治疗大血管闭塞（LVO）急性缺血性脑卒中（AIS）患者的常用方法。然而，MT 并非没有并发症风险，仅有少数关于 MT 后发生 CCF 的报告。在此，我们报告了 1 例 63 岁患者，因大脑中动脉 LVO 反复行 MT 后发生右侧水平海绵窦段 C4 段医源性高流量 CCF，同时对近期文献进行了回顾。
