Endovascular treatment of post-traumatic carotid-cavernous fistulae using latex detachable balloons
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2005
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South African Journal of Radiology
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University of Cape Town
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Abstract
Objective. To determine the efficiency of latex detachable balloons in the treatment of post-traumatic carotid-cavernous fistulae (CCF). Methods. Management and outcome were reviewed for 34 consecutive patients with post-traumatic CCF personally treated by one of the authors (PS) using latex detachable balloons during the 4-year period 1996 - 2000. Results. Endovascular embolisation of 34 CCFs was attempted in 33 patients. In 1 patient where the fistula was a result of rupture of an intracavernous aneurysm, the fistula thrombosed spontaneously before embolisation was attempted. In the 33 treated patients, the fistula was occluded in 30 cases (91%). Patency of the internal carotid artery was preserved in 16 cases (53%). Conclusion. A high percentage (91%) of direct CCFs were successfully occluded with latex detachable balloons. There were no permanent neurological complications in any of the patients treated.
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Reference:
Szkup, P., & Beningfield, S. (2005). Endovascular treatment of posttraumatic carotidcavernous fistulae using latex detachable balloons. SA Journal of Radiology, 9(1), 4-15.