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American Journal of Neuroradiology 24:1785-1788, October 2003
© 2003 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Endovascular Trapping of Traumatic Carotid-Cavernous Fistulae

Stuart C. Coleya, Hament Pandyaa, Tim J. Hodgsona, Martin A. Jeffreeb and Neil P. Deasyb

a Department of Radiology, Royal Hallamshire Hospital, Sheffield, England
b Department of Neuroradiology, Kings College Hospital, London, England

Address correspondence to Stuart C. Coley, MD, Department of Radiology, Royal Hallamshire Hospital, Sheffield, UK, S10 2JF

Summary: We describe an unconventional endovascular approach to the treatment of traumatic carotid-cavernous fistulas. Four patients with large high-flow shunts have been successfully treated by trapping of the fistula by using a combination of proximal balloon occlusion and distal coil embolization. The latter was achieved following retrograde catheterization of the distal parent vessel via the contralateral carotid or ipsilateral vertebral artery.




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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X