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Acta neurochirurgica · Feb 2010
Case ReportsDirect puncture of a prematurely detached balloon in the supraclinoid ICA via the optic canal during embolisation of a traumatic carotid-cavernous fistula.
- C-B Luo, M-M H Teng, C-J Lin, F-C Chang, and C-Y Chang.
- Department of Radiology, Taipei Veterans General Hospital and National Yang Ming University School of Medicine, 201, Sec 2, Shih-Pai Road, Taipei, Taiwan, Republic of China. cbluo@vghtpe.gov.tw
- Acta Neurochir (Wien). 2010 Feb 1;152(2):321-4.
AbstractWe report a patient with traumatic carotid-cavernous fistula associated with an isolated internal carotid artery in whom, after trans-arterial balloon embolisation, premature balloon detachment occurred with balloon migration to the supraclinoid carotid artery, leading to total occlusion of the blood flow. The carotid flow was eventually restored by direct puncture of the detached balloon via the optic canal and by deploying a coronary stent to fix the balloon in the vascular wall. The fistula was eventually occluded by using detachable coils. He was discharged with a mild hemiparesis and decreased acuity in the left eye.
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