Treatment of vascular lesions with balloon catheters.
During a 4 year period, 48 patients were treated with balloon catheters. There were 39 fistulas and nine aneurysms. Detachable balloons with a modified Debrun technique were used in 37 patients. Different kinds of technical problems were encountered. The arterial axis remained patent in 29 of the 37 fistulas; in the two mixed internal and external carotid-cavernous sinus fistulas, combined embolization with dura, isobutyl cyanoacrylate, and detachable balloon was used. In six of the nine aneurysms the arterial axis was occluded with a detachable balloon. In three of 48 patients, severe neurologic complications resulted in death.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000628:therapy*; D002342:Carotid Artery, External; D002343:Carotid Artery, Internal; D002426:Cavernous Sinus; D002648:Child; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D007601:Jugular Veins; D008875:Middle Aged; D013348:Subclavian Artery; D014711:Vertebral Artery