Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2024; 12(11): 1940-1946
Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1940
Endovascular treatment of direct carotid cavernous fistula resulting from rupture of intracavernous carotid aneurysm: A case report
Guang Ouyang, Kai-Li Zheng, Kuan Luo, Mu Qiao, Yuan Zhu, De-Rui Pan
Guang Ouyang, Kai-Li Zheng, Kuan Luo, Mu Qiao, De-Rui Pan, Department of Neurosurgery, Puren Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430081, Hubei Province, China
Yuan Zhu, Department of Neurosurgery, The Third Hospital of Wuhan, Wuhan 430081, Hubei Province, China
Author contributions: Ouyang G and Zheng K were responsible for manuscript writing and data curation; Luo K and Qiao M were responsible for data curation; Zhu Y was responsible for methodology and resources; Pan D was responsible for manuscript writing, reviewing, and editing, and project administration.
Informed consent statement: Informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: De-Rui Pan, MD, Doctor, Department of Neurosurgery, Puren Hospital Affiliated to Wuhan University of Science and Technology, No. 1 Benxi Street, Qingshan District, Wuhan 430081, Hubei Province, China. 15707252133@163.com
Received: November 2, 2023
Peer-review started: November 2, 2023
First decision: December 7, 2023
Revised: January 2, 2024
Accepted: March 20, 2024
Article in press: March 20, 2024
Published online: April 16, 2024
Processing time: 160 Days and 17.6 Hours
Core Tip

Core Tip: A patient with direct carotid cavernous fistula was treated with a pipeline embolization device in the ipsilateral internal carotid artery across the fistula. Additionally, coils and Onyx were placed through the femoral venous route, followed by placement of the pipeline embolization device with assistance from a balloon-coiling technique. No intraoperative or perioperative complications occurred. Preoperative symptoms of bulbar hyperemia and bruits subsided immediately after the operation.