Combining the detachable balloon technique and surgery in imaging carotid cavernous fistulae

作者：Gérard Debrun, Haring J. W. Nauta, Neil R. Miller, Charles G. Drake, Roberto C. Heros, Hyo Seung Ahn · 发表于：Surgical Neurology · 年份：1989 · DOI：10.1016/0090-3019(89)90028-1 · 被引用次数：26 · 研究领域：Vascular Malformations Diagnosis and Treatment、Intracranial Aneurysms: Treatment and Complications、Neurosurgical Procedures and Complications

Among 143 carotid cavernous fistulae, 10 cases could not be successfully treated by standard endovascular techniques alone; some form of surgical assistance was required. The circumstances included incomplete closure of the fistula while the internal carotid artery was occluded, failure to occlude the fistula after both arterial and venous endovascular approaches, hairpin loop of the cervical portion of the internal carotid artery, failure of previous trapping procedures, and failure to cure spontaneous carotid cavernous fistulae of the dural type after embolization of the external carotid feeders. These ten patients were cured by combining a surgical procedure and an interventional technique.