Language

English

Publication Date

12-1-2025

Journal

Journal of Cerebrovascular and Endovascular Neurosurgery

DOI

10.7461/jcen.2025.E2025.05.004

PMID

40984787

PMCID

PMC12757732

PubMedCentral® Posted Date

9-24-2025

PubMedCentral® Full Text Version

Post-print

Abstract

A traumatic carotid-cavernous fistula (CCF) is a significant neurovascular condition characterized by an abnormal connection between the carotid artery and the cavernous sinus, often resulting from head trauma. This condition can lead to serious complications, necessitating effective management strategies. Endovascular treatment is the preferred approach for managing this condition. We present a case of a 23-year-old male with persistent left eye pain and redness seven months post-motor vehicle collision. Cerebral angiography confirmed a high-flow CCF with compromised intracranial flow, successfully treated with a 5 mm PK Papyrus covered stent using a novel tri-axial delivery system. This case highlights the efficacy of covered stents in neurovascular interventions and introduces an innovative approach for deploying a large-diameter stent across the cavernous internal carotid artery.

Keywords

Carotid cavernous fistula, Arteriovenous fistula, Endovascular procedures, Stents, Covered stent

Published Open-Access

yes

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