title: Endovascular trapping of traumatic carotid-cavernous fistulae.
abstract: 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.
authors.affiliation: Department of Radiology, Royal Hallamshire Hospital, Sheffield, England.
authors.forename: Stuart C
authors.initials: SC
authors.lastname: Coley
authors.forename: Hament
authors.initials: H
authors.lastname: Pandya
authors.forename: Tim J
authors.initials: TJ
authors.lastname: Hodgson
authors.forename: Martin A
authors.initials: MA
authors.lastname: Jeffree
authors.forename: Neil P
authors.initials: NP
authors.lastname: Deasy
mesh_terms: 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