Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery.

@article{Iancu2015FlowDI,
  title={Flow diversion in the treatment of carotid injury and carotid-cavernous fistula after transsphenoidal surgery.},
  author={Daniela Iancu and Cheemum Lum and Muhammad Ejaz Ahmed and Rafael S Glikstein and Marlise Peruzzo Dos Santos and Howard J Lesiuk and Mohamed Ahmed Labib and Amin Kassam},
  journal={Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences},
  year={2015},
  volume={21 3},
  pages={346-50}
}
We describe a case of iatrogenic carotid injury with secondary carotid-cavernous fistula (CCF) treated with a silk flow diverter stent placed within the injured internal carotid artery and coils placed within the cavernous sinus. Flow diverters may offer a simple and potentially safe vessel-sparing option in this rare complication of transsphenoidal surgery. The management options are discussed and the relevant literature is reviewed.