case_images: PMC11128697_01
case_images: Angiography was performed to confirm the iatrojenic ICA injury. Lateral projection (a, b) and 3D anjiogram (c) was obtained. Caroticocavernous fistula (a) draining towards to inferior petrosal sinus and Pseudo-aneursym (b) was seen proximal to the right ICA cavernous segment.
case_images: SEMB-58-135-g001.jpg
case_images: PMC11128697_01_SEMB-58-135-g001.jpg
case_images: F1
case_images: Cerebral DSA showed a pseudo-aneurysm proximal to the right ICA cavernous segment and a caroticocavernous fistula draining towards the inferior petrosal sinus (Fig. 1).
case_images: (a) Two intertwined flow diverter stents (4x25 mm) placed and balloon catheter angioplasty was performed (b). Six months after (c), the patient was shown to have absent CCF filling, complete obliteration of the pseudoaneurysm, with normal patency of the ICA.
case_images: SEMB-58-135-g002.jpg
case_images: PMC11128697_01_SEMB-58-135-g002.jpg
case_images: F2
case_images: The microcatheter was replaced, and two intertwined flow diverter stents (4x25 mm) were placed across the neck of the aneurysm (Fig. 2A). A balloon catheter angioplasty was performed for wall apposition(Fig. 2B). Follow-up DSA was obtained one day after stent placement, pseudoaneurysm size was reduced, and six months after, the patient was shown to have absent CCF filling, complete obliteration of the pseudoaneurysm, with normal patency of the ICA (Fig. 2C).