Surpass Streamline Flow-Diverter Embolization Device for Treatment of Iatrogenic and Traumatic Internal Carotid Artery Injuries.

M Ghorbani,M Azar,H Shojaei,K Bavand

doi:10.3174/ajnr.a5607

Abstract

Iatrogenic and traumatic cerebral internal carotid artery injuries are uncommon but potentially lethal complications. Direct surgical repair of ICA injuries may be difficult in an acute setting. However, endovascular treatment with a flow-diverter embolization device is a feasible alternative technique that we experienced. In this clinical report, we describe demographic data, radiographic images, lesion characteristics, endovascular procedure notes, postprocedural hospital course, and follow-up digital subtraction angiography of 5 patients. At least 6-month follow-up was available in all patients without occurrence of rebleeding and other complications.

Highlights

We present our experience with the management of iatrogenic and traumatic ICA injuries and their outcomes after endovascular treatment with Surpass Streamline flow-diverter device (FDD) placement
Occlusion, false aneurysms, and carotid cavernous fistulas have all placed within the cavernous sinus
Wakhloo et al[13] and Colby et al[14] recently showed, in 2 case series, that Surpass is a new-generation flow diverter with unique device-specific and delivery-specific features, compared with clinically available endoluminal flow diverters, and has safety and efficacy in the treatment of intracranial aneurysms comparable been reported as angiographic manifestations of postsurgical vas- with that of stent-assisted coil embolization

Summary

Introduction

We present our experience with the management of iatrogenic and traumatic ICA injuries and their outcomes after endovascular treatment with Surpass Streamline FDD placement. Case Series A retrospective study was conducted, and all patients with an ICA injury related to iatrogenic or traumatic causes who underwent endovascular treatment with the Surpass Streamline FDD in our institution (Firoozgar Hospital) were included from 2015 to 2017.

Results

Conclusion