Carotid Cavernous Fistulae Occurring After the Use of the Fogarty Catheter in Carotid Surgery

Author:

Orozco Ludwig D.1,Stacy Jason D.1,Luqman Ali W.1,Buciuc Razvan F.2,Luzardo Gustavo D.1

Affiliation:

1. Department of Neurosurgery, University of Mississippi Medical Center, Jackson, MS, USA

2. Department of Radiology, University of Mississippi Medical Center, Jackson, MS, USA

Abstract

The Fogarty catheter represents a major advancement for the effective removal of distal thrombi during vascular surgery, including carotid endarterectomy (CEA). One complication related to its use is injury to the cavernous carotid artery with development of a carotid cavernous fistula (CCF). Including a recent case at our institution, 21 patients with a Fogarty-related CCF have been reported since 1967. We performed a detailed review of all Fogarty-related CCFs during the treatment of carotid occlusive disease. We suggest a management algorithm for post-CEA acute carotid occlusion.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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