title: Balloon reconstructive technique for the treatment of a carotid cavernous fistula.
abstract: Endovascular treatment of carotid cavernous fistulas (CCFs) presents many technical difficulties and hazards, some unique to each patient. This report details some of the difficulties encountered in the treatment of a 63-year-old patient with a CCF and an ipsilateral internal carotid artery dissection. After failure of conventional techniques using a detachable balloon, complete closure of the CCF was achieved by transvenous coil embolization while the arterial lumen was protected by a nondetachable balloon catheter.
authors.affiliation: Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: P P
authors.initials: PP
authors.lastname: Morris
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging; D001164:Arteriovenous Fistula / Q000150:complications / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000150:complications / Q000628:therapy*; D002404:Catheterization; D002426:Cavernous Sinus / Q000002:abnormalities*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D019233:Retreatment; D017211:Treatment Failure