Endovascular trapping of traumatic carotid-cavernous fistulae.
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.
Coley
Stuart C
SC
Department of Radiology, Royal Hallamshire Hospital, Sheffield, England.
Pandya
Hament
H
Hodgson
Tim J
TJ
Jeffree
Martin A
MA
Deasy
Neil P
NP
D000328:Adult; D021721:Balloon Occlusion; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002533:Cerebral Angiography; D006259:Craniocerebral Trauma / Q000150:complications; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male