Treatment of pseudoaneurysms and fistulas of internal carotid arteries cavernous segments with covered stent-graft
LIAO Xu-xing
ZHONG Wei-Jian
DONG An-shi
DUAN Cheng-bin
LIN Fa-mu
DENG Qi-Jun
WANG Hui
Abstract：Objective To investigate the feasibility and efficacy of the treatment of pseudoaneurysms and fistulas of internal arteries cavernous segment (ICACS) with the covered stent-graft. Methods The clinical data of 16 patients with pseudoaneurysms and fistulas of ICACS treated with covered stent-graft in recent 5 years were analyzed retrospectively. Of these 16 patients, 15 suffered from ICACS pseudoaneurysms and 1 from ICAS fistula. Results DSA immediately after the operation sowed that the pseudoneurysms and fistula disappeared completely and the parent arteries were free in all the patients. Two patients died of intracranial rebleeding respectively 3 and 10 days after the operation. The following-up from 3 to 24 months showed that all the surviving patients returned to normal work. DSA or CTA examination showed that no lesions recurred in 14 patients, but the internal carotid cavernous sinus was occluded after the stenting in 1 patients associated with nasopharyngeal carcinoma treating by radiotherapy. Conclusions The covered stent-graft is a safe and effective method to treat the ICACS hemorrhages caused by pseudoaneurysms and fistulas, but its effect should be confirmed by the long-term following up and the application of it to treatment of the more same patients.
Keywords：PseudoaneurysmFistulaCovered stent-graftCavernous segment of internal carotid arteryCurative effect
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 769-771 )