Advanced

AJNR - American Journal of Neuroradiology

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Teng, M. M. H. Articles by Guo, W.-Y. Search for Related Content PubMed PubMed Citation Articles by Teng, M. M. H. Articles by Guo, W.-Y.

American Journal of Neuroradiology 21:1753-1756 (10 2000)
© 2000 American Society of Neuroradiology

ARTICLE

Double-balloon Technique for Embolization of Carotid Cavernous Fistulas

Michael Mu Huo Teng^,a, Cheng-Yen Chang^a, Jen-Huey Chiang^a, Jiing-Feng Lirng^a, Chao-Bao Luo^a, Shing-Su Chen^a, Feng-Chi Chang^a and Wan-Yuo Guo^a

^a From Department of Radiology (M.M.H.T., C.-Y.C., J.-H.C., J.-F.L. C.-B.L. S.-S.C., F.-C.C., W.-Y.G.), Taipei Veterans General Hospital Medical School (M.M.H.T., C.-Y.C., J.-H.C., J.-F.L, C.-B.L., S.-S.C., W.-Y.G.) National Yang Ming University, Taipei.

Summary: 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 cavernous sinus retracts to the carotid artery. Under these circumstances, the ICA may have to be sacrificed in order to treat the CCF. Herein we describe a double-balloon technique for embolization of a CCF. By applying this technique, we successfully treated nine of 11 CCFs, without compromise of the parent ICA when the conventional one-balloon technique failed.

This article has been cited by other articles:

				C.-B. Luo, M.M.H. Teng, F.-C. Chang, and C.-Y. Chang Transarterial Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Direct Carotid Cavernous Fistulas AJNR Am. J. Neuroradiol., August 1, 2006; 27(7): 1535 - 1540. [Abstract] [Full Text] [PDF]

				C. C.-C. Chen, P. C.-T. Chang, C.-G. Shy, W.-S. Chen, and H.-C. Hung CT Angiography and MR Angiography in the Evaluation of Carotid Cavernous Sinus Fistula Prior to Embolization: A Comparison of Techniques AJNR Am. J. Neuroradiol., October 1, 2005; 26(9): 2349 - 2356. [Abstract] [Full Text] [PDF]

				G. F.H. Chun and T. A. Tomsick Transvenous Embolization of a Direct Carotid Cavernous Fistula through the Pterygoid Plexus AJNR Am. J. Neuroradiol., August 1, 2002; 23(7): 1156 - 1159. [Abstract] [Full Text] [PDF]