American Journal of Neuroradiology, Vol 18, Issue 3 519-523, Copyright © 1997 by American Society of Neuroradiology
ARTICLES |
Transarterial embolization of a direct carotid cavernous fistula with Guglielmi detachable coils
T Siniluoto, S Seppanen, T Kuurne, G Wikholm, S Leinonen and P Svendsen
Department of Radiology, Oulu (Finland) University Hospital, University of Oulu, Finland.
Four patients underwent transarterial embolization of a carotid- cavernous fistula with Guglielmi detachable coils; in three cases as the initial form of treatment and in one case after treatment via transarterial balloon embolization failed. The fistulas were 2 to 3 mm in diameter on pretreatment angiograms. Complete obliteration was achieved in two patients; in the other two, minimal residual flow remained immediately after embolization but disappeared by follow-up angiography. One to four coils were used to occlude the fistulas. The internal carotid artery remained patent in all patients, and there were no complications.
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