Balloon reconstructive technique for the treatment of a carotid cavernous fistula.
نویسنده
چکیده
Endovascular treatment of carotid cavernous fistulas (CCFs) presents many technical difficulties and hazards, some unique to each patient. This report details some of the difficulties encountered in the treatment of a 63-year-old patient with a CCF and an ipsilateral internal carotid artery dissection. After failure of conventional techniques using a detachable balloon, complete closure of the CCF was achieved by transvenous coil embolization while the arterial lumen was protected by a nondetachable balloon catheter.
منابع مشابه
Transarterial Treatment of Direct Carotid Cavernous Fistulas with the Assistance of Undetachable Balloons
Directed carotid cavernous fistula means high blood flow shunts between the internal carotid artery and the cavernous sinus. Obstructing the abnormal shunt between the internal carotid artery and the cavernous sinus while preserving the internal carotid artery is the key role in fistula treatment. Transarterial balloon embolization is currently the gold standard treatment for most of the caroti...
متن کاملTreatment of traumatic carotid-cavernous fistula using detachable balloon catheters.
The goal of therapy in patients with traumatic carotid-cavernous fistulas is to occlude the fistula, preferably while maintaining the carotid blood flow. Surgical techniques that treat the fistula remote from the cavernous sinus often cannot maintain carotid patency. Various interventional techniques using detachable balloons have been developed. The most common technique uses the endarterial r...
متن کاملDouble-balloon technique for embolization of carotid cavernous fistulas.
Embolization of a carotid cavernous fistula (CCF) by means of a detachable balloon is an established method for treating CCFs while preserving a patent parent internal carotid artery (ICA). However, failure to embolize the CCF may occur on a few occasions, such as when the balloon cannot pass through the fistula into the cavernous sinus by blood flow, or when the inflated balloon in the caverno...
متن کاملAvoiding intraarterial balloon detachment in the treatment of posttraumatic carotid-cavernous fistulae with detachable balloons.
Since the introduction by Serbinenko [1] of the concept of using detachable balloons to occlude arteriovenous fistulae and the development of the latex detachable balloon system by Debrun et al. [2] , detachable balloons have become the treatment of choice in the management of posttraumatic carotid-cavernous fistulae [3, 4]. Using this method, the fistula can be occluded with preservation of fl...
متن کاملCerebrovascular occlusion by catheterization and embolization: clinical experience.
Intravascular occlusion by various catheterization techniques was used to treat 27 cases of carotid-cavernous fistula, giant intracavernous aneurysm, and cerebral or dural arteriovenous malformation. Several case reports are presented. The detachable balloon technique proved valuable in the treatment of traumatic carotid-cavernous fistula and giant aneurysm. Calibrated-leak balloon catheterizat...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 20 6 شماره
صفحات -
تاریخ انتشار 1999