A complex cavernous sinus dural arteriovenous fistula secondary to covered stent placement for a traumatic carotid artery–cavernous sinus fistula

Case report

Xian-Li Lv Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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You-Xiang Li Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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Ai-Hua Liu Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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Ming Lv Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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Peng Jiang Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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Jing-Bo Zhang Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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Zhong-Xue Wu Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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✓The authors present the case of a patient with a direct carotid artery–cavernous sinus fistula caused by head trauma in whom a self-expanding covered stent was successfully used to obliterate the fistula. However, at the 9-month follow-up an angiogram revealed a complex caroticocavernous fistula that was completely obliterated with Onyx 18 transarterially.

Abbreviations used in this paper:

CA = carotid artery; CCF = caroticocavernous fistula; DAVF = dural arteriovenous fistula; ICA = internal CA; MMA = middle meningeal artery.
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