title: Transarterial embolization of a direct carotid cavernous fistula with Guglielmi detachable coils.
abstract: 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.
authors.affiliation: Department of Radiology, Oulu (Finland) University Hospital, University of Oulu, Finland.
authors.forename: T
authors.initials: T
authors.lastname: Siniluoto
authors.forename: S
authors.initials: S
authors.lastname: Seppänen
authors.forename: T
authors.initials: T
authors.lastname: Kuurne
authors.forename: G
authors.initials: G
authors.lastname: Wikholm
authors.forename: S
authors.initials: S
authors.lastname: Leinonen
authors.forename: P
authors.initials: P
authors.lastname: Svendsen
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000293:injuries*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome