Combined transarterial N-butyl cyanoacrylate and coil embolization of direct carotid-cavernous fistulas. Report of two cases.
The authors report two cases of traumatic carotid-cavernous fistulas treated successfully with combined N-butyl cyanoacrylate glue and coil embolization via a transarterial approach. In both cases complete occlusion of the fistula was achieved, with preservation of the parent carotid artery. Casting of the cavernous sinus with a liquid embolic agent was well tolerated and produced no complications of cranial nerve palsy. This technique provides interventionalists with yet another treatment option in these often complex cases.
Troffkin
Neil A
NA
Departments of Neurosurgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40356, USA.
Given
Curtis A
CA
D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D004659:Enbucrilate / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D019291:Skull Base / Q000293:injuries; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000628:therapy; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy; D014014:Tissue Adhesives / Q000008:administration & dosage*
D014014:Tissue Adhesives; D004659:Enbucrilate