BACKGROUND: Ruptured CCAs are traditionally treated with endovascular management. Advances in microstent and coil technology have allowed improved intracranial navigation, increased coil packing density, and coil volume expansion to facilitate complete coil embolization of @entity439 /fistulae. We report a case of a @entity397 with an associated @entity5149 treated with an intracranial, self-expanding microstent in combination with coil embolization using hydrogel-coated @entity902 coils. CASE DESCRIPTION: A 50-year-old @entity1 presented with a 7-day history of severe @entity10 and 2 days of progressive @entity10584 , @entity4610 , and @entity809 . A cerebral angiogram demonstrated a @entity135 with an associated @entity5149 . An intracranial, self-expanding microstent (Neuroform(3), Boston Scientific, Natick, MA) was placed across the @entity439 . The @entity439 was subsequently embolized with hydrogel-coated @entity902 coils (HydroCoil). A 3-month follow-up angiogram showed complete resolution of arteriovenous shunting with near-complete occlusion of the CCA. The @entity1 's @entity3856 and @entity809 resolved completely, with near-complete resolution of @entity4610 . CONCLUSIONS: This case demonstrates near-complete occlusion of a @entity397 of an associated @entity5149 using endovascular combinational therapy of an intracranial, self-expanding microstent with hydrogel-coated @entity902 coils. Use of this newer-generation stent-coil combination may allow more complete and durable lesion occlusion because of increased coil packing density and coil volume expansion without the need for parent artery sacrifice or balloon-remodeling techniques, thus avoiding the potential complications of such therapies.

Endovascular management of a ruptured cavernous carotid artery XXXX associated with a carotid cavernous fistula with an intracranial self-expanding microstent and hydrogel-coated coil embolization: case report and review of the literature.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity135 :: ('MESH:D006258', 'Disease') :: ['left ruptured wide-necked CCA'] @entity3856 :: ('MESH:D058447', 'Disease') :: ['ocular pain'] @entity5149 :: ('MESH:D003025', 'Disease') :: ['CCF'] @entity809 :: ('MESH:D010292', 'Disease') :: ['facial dysesthesias'] @entity4610 :: ('MESH:D009886', 'Disease') :: ['ophthalmoplegia'] @entity397 :: ('MESH:D012421', 'Disease') :: ['ruptured CCA', 'ruptured CCA and obliteration'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysmal neck', 'aneurysm'] @entity10584 :: ('MESH:C537001', 'Disease') :: ['left-sided ptosis'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity902 :: ('MESH:D010984', 'Chemical') :: ['platinum']
@entity439 :: (MESH:D000783,Disease) :: ['aneurysm']
