Original Research

Endovascular treatment of post-traumatic carotid-cavernous fistulae using latex detachable balloons

P. Szkup, S. Beningfield
South African Journal of Radiology | Vol 9, No 1 | a90 | DOI: https://doi.org/10.4102/sajr.v9i1.90 | © 2005 P. Szkup, S. Beningfield | This work is licensed under CC Attribution 4.0
Submitted: 21 February 2005 | Published: 03 April 2005

About the author(s)

P. Szkup, Department of Medical Imaging Royal University Hospital, University of Saskatchewan, Canada
S. Beningfield, Department of Radiology Groote Schuur Hospital University of Cape Town, South Africa

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Abstract

Objective: To determine the efficiencyof latex detachable balloons inthe treatment of post-traumaticcarotid-cavernous fistulae (CCF).

Methods: Management and outcomewere reviewed for 34 consecutivepatients with post-traumatic CCFpersonally treated by one of theauthors (PS) using latex detachableballoons during the 4-year period1996 - 2000.

Results: Endovascular embolisationof 34 CCFs was attempted in 33patients. In 1 patient where the fistulawas a result of rupture of an intracavernousaneurysm, the fistulathrombosed spontaneously beforeembolisation was attempted. In the33 treated patients, the fistula wasoccluded in 30 cases (91%). Patencyof the internal carotid artery was preservedin 16 cases (53%).

Conclusion: A high percentage(91%) of direct CCFs were successfullyoccluded with latex detachableballoons. There were no permanentneurological complications in any ofthe patients treated.


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