Carotid-cavernous fistula following percutaneous retrogasserian procedures

作者：Laligam N. Sekhar, Roberto C. Heros, Charles W. Kerber · 发表于：Journal of neurosurgery · 年份：1979 · DOI：10.3171/jns.1979.51.5.0700 · 被引用次数：60 · 研究领域：Vascular Malformations Diagnosis and Treatment、Neurosurgical Procedures and Complications、Intracranial Aneurysms: Treatment and Complications

Carotid arterial puncture during percutaneous retrogasserian procedures is a common but usually harmless complication. Strokes, resulting presumably from carotid artery thrombosis, have been reported previously following percutaneous retrogasserian coagulation. The authors report two cases of carotid-cavernous fistula, one following percutaneous radiofrequency rhizotomy and the other after percutaneous retrogasserian block. The latter patient had an anomaully by intracavernous injection of isobutyl-2 cyanoacrylate, using intra-arterial balloon flotation catheters. Carotid-cavernous fistula is a potentially serious complication of such procedures, and may be more common than realized since small fistulas may close spontaneously.