Endovascular treatment of post-traumatic carotid-cavernous fistulae using latex detachable balloons

P. Szkup, S. Beningfield
2005 South African Journal of Radiology  
Objective: To determine the efficiencyof latex detachable balloons inthe treatment of post-traumaticcarotid-cavernous fistulae (CCF).Methods: Management and outcomewere reviewed for 34 consecutivepatients with post-traumatic CCFpersonally treated by one of theauthors (PS) using latex detachableballoons during the 4-year period1996 - 2000.Results: Endovascular embolisationof 34 CCFs was attempted in 33patients. In 1 patient where the fistulawas a result of rupture of an intracavernousaneurysm,
more » ... avernousaneurysm, the fistulathrombosed spontaneously beforeembolisation was attempted. In the33 treated patients, the fistula wasoccluded in 30 cases (91%). Patencyof the internal carotid artery was preservedin 16 cases (53%).Conclusion: A high percentage(91%) of direct CCFs were successfullyoccluded with latex detachableballoons. There were no permanentneurological complications in any ofthe patients treated.
doi:10.4102/sajr.v9i1.90 fatcat:cgwuwic7jzgxdo5hoqovgguqya