Carotid-cavernous fistula treated with detachable balloon during bilateral transcranial Doppler monitoring of middle cerebral arteries. A case report.
A traumatic carotid-cavernous fistula was closed with a silicone detachable balloon. Prior to the closure of the fistula, clinical and transcranial Doppler testing was performed in order to evaluate the consequences of a possible occlusion of the carotid artery. A newly developed Doppler technique with bilateral simultaneous velocity recordings of the middle cerebral arteries was useful during the procedure. The detachable balloon was effective in closing the fistula, but collapse of the balloon and the development of an extradural aneurysm was found at control examinations.
Nakstad
P H
PH
Department of Radiology, National Hospital, University of Oslo, Norway.
Hald
J K
JK
Sorteberg
W
W
D000328:Adult; D001164:Arteriovenous Fistula / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000628:therapy*; D002404:Catheterization / Q000379:methods*; D002426:Cavernous Sinus; D002536:Cerebral Arteries / Q000000981:diagnostic imaging; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D008991:Monitoring, Physiologic; D014463:Ultrasonography