Application of the Willis covered stent for the management of posttraumatic carotid-cavernous fistulas: an initial clinical study.

Abstract:

AIMS:To evaluate the feasibility of using the Willis covered stent in the management of patients with traumatic carotid-cavernous fistulas (CCFs). MATERIALS AND METHODS:Twelve consecutive patients with 14 post-traumatic CCFs referred for treatment with Willis covered stents were enrolled in this prospective study. Data on technical success, initial and final angiographic results, mortality, morbidity and final clinical outcome were collected. Follow- up was at one, three, six, and 12 months, and yearly thereafter. RESULTS:Deployment of covered stents was technically successful in all the patients without complications. One covered stent was placed in eight patients and two covered stents in four. Angiographic results following stent placement showed a complete occlusion in nine patients with 11 CCFs, and an incomplete occlusion in three patients. Angiographic follow-up (mean, 14.00 ± 6.93 months; range, 6-24 months) revealed complete occlusion and no obvious in-stent stenosis in all the patients. Clinical follow-up (mean, 17.75 ± 7.05 months; range, 7-28 months) demonstrated full recovery in 11 patients, and improvement in one. CONCLUSION:This initial experience indicates that the use of the Willis covered stent is a feasible procedure and may be an alternative treatment option for CCFs.

journal_name

Neurol India

journal_title

Neurology India

authors

Wang YL,Ma J,Li YD,Ding PX,Han XW,Wu G

doi

10.4103/0028-3886.96397

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

180-4

issue

2

eissn

0028-3886

issn

1998-4022

pii

ni_2012_60_2_180_96397

journal_volume

60

pub_type

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