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Delayed coil migration into oropharynx following endovascular coiling of a traumatic carotid cavernous fistula: management considerations

  • Case Report - Vascular Neurosurgery - Other
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Abstract

Carotid-cavernous fistulas (CCFs) are abnormal vascular shunts between the carotid artery and the cavernous sinus. A 37-year-old male presented with a traumatic CCF and basal skull fracture extending through the medial wall of the cavernous sinus and sphenoid sinus. The CCF was treated with endovascular coiling. Three months after this procedure, he was found to have coil migration through the traumatic sphenoid defect into the pharynx. He underwent urgent endonasal endoscopic surgery to disconnect and remove the extruded coil. Post-operative coil migration is a rare but serious complication following endovascular treatment of traumatic CCF.

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Authors and Affiliations

  1. Division of Neurosurgery, University of British Columbia, Vancouver, Canada

    Alexander D. Rebchuk, Peter A. Gooderham & Manraj K. S. Heran

  2. Division of Otolaryngology, University of British Columbia, Vancouver, Canada

    Saleh Okhovat & Arif S. Janjua

  3. Division of Neuroradiology, University of British Columbia, Vancouver, Canada

    Manraj K. S. Heran

  4. Department of Radiology, Vancouver General Hospital, University of British Columbia, 899 West 12th Ave, BC, V5Z 1M9, Vancouver, Canada

    Manraj K. S. Heran

Authors
  1. Alexander D. Rebchuk
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  2. Peter A. Gooderham
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  3. Saleh Okhovat
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  4. Arif S. Janjua
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  5. Manraj K. S. Heran
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Correspondence to Manraj K. S. Heran.

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This article is part of the Topical Collection on Vascular Neurosurgery - Other

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Rebchuk, A.D., Gooderham, P.A., Okhovat, S. et al. Delayed coil migration into oropharynx following endovascular coiling of a traumatic carotid cavernous fistula: management considerations. Acta Neurochir 164, 1287–1292 (2022). https://doi.org/10.1007/s00701-021-05087-5

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  • DOI: https://doi.org/10.1007/s00701-021-05087-5

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