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

Interv Neuroradiol. 2015 Jun;21(3):346-50. doi: 10.1177/1591019915582367. Epub 2015 May 26.


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.

Keywords: Transsphenoidal surgery; carotid artery; carotid cavernous fistula; false aneurysm; pituitary mass.

Publication types

  • Case Reports

MeSH terms

  • Carotid Artery Injuries / diagnostic imaging
  • Carotid Artery Injuries / therapy*
  • Carotid Artery, Internal* / diagnostic imaging
  • Cerebral Angiography
  • Computed Tomography Angiography
  • Embolization, Therapeutic / methods*
  • Female
  • Humans
  • Iatrogenic Disease
  • Middle Aged
  • Sphenoid Bone / surgery*
  • Stents*