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Interventional embolization of traumatic carotid-cavernous fistulas (TCCF)

Fu Luo

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Abstract

AIM To discuss the clinical features and the effect of endovascular interventional embolization for traumatic carotid cavernous fistula (TCCF). METHODS Retrospective research of interventional embolization for 12 cases TCCF. Femoral artery approach was used. Detachable balloons were positioned into the orifice of fistula and inflated. RESAULTS All the cases were cured oncely. The fistulas of 11 cases were occluded with patency of internal carotid artery (ICA) accounting for 91.6%, while ICA was occluded in 1 case. Follow up for 6 mon～4.2 years in 11 cases of the group. No one had recurrence. CONCLUSION The detachable balloon technique is the optimal way for TCCF.

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What this paper is about

AIM To discuss the clinical features and the effect of endovascular interventional embolization for traumatic carotid cavernous fistula (TCCF). METHODS Retrospective research of interventional embolization for 12 cases TCCF. Femoral artery approach was used. Detachable balloons were positioned into the orifice of fistula and inflated. RESAULTS All the cases were cured oncely. The fistulas of 11 cases were occluded with patency of internal carotid artery (ICA) accounting for 91.6%, while ICA was occluded in 1 case. Follow up for 6 mon～4.2 years in 11 cases of the group. No one had recurrence. CONCLUSION The detachable balloon technique is the optimal way for TCCF.

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Available abstract

AIM To discuss the clinical features and the effect of endovascular interventional embolization for traumatic carotid cavernous fistula (TCCF). METHODS Retrospective research of interventional embolization for 12 cases TCCF. Femoral artery approach was used. Detachable balloons were positioned into the orifice of fistula and inflated. RESAULTS All the cases were cured oncely. The fistulas of 11 cases were occluded with patency of internal carotid artery (ICA) accounting for 91.6%, while ICA was occluded in 1 case. Follow up for 6 mon～4.2 years in 11 cases of the group. No one had recurrence. CONCLUSION The detachable balloon technique is the optimal way for TCCF.

Key concepts: Medicine, Embolization, Carotid-cavernous fistula, Internal carotid artery, Fistula, Surgery, Balloon, Radiology

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