Open AccessCarotid Cavernous Fistulae Occurring After the Use of the Fogarty Catheter in Carotid Surgery
Author(s) -
Ludwig D. Orozco,
Jason Stacy,
Ali Luqman,
Razvan Buciuc,
Gustavo Luzardo
Publication year - 2013
Publication title -
vascular and endovascular surgery/vascular and endovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1938-9116
pISSN - 1538-5744
DOI - 10.1177/1538574413487440
Subject(s) - medicine , carotid cavernous fistula , carotid endarterectomy , surgery , complication , catheter , carotid arteries , fistula , endarterectomy , radiology
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.
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