Cyanoacrylate Occlusion of Carotid‐Cavernous Fistula with Preservation of Carotid Artery Flow
作者:
Charles Kerber,
William Bank,
Laurence Cromwell,
期刊:
Neurosurgery
(OVID Available online 1979)
卷期:
Volume 4,
issue 3
页码: 210-215
ISSN:0148-396X
年代: 1979
出版商: OVID
关键词: Balloon microcatheter;Carotid‐cavernous fistula;Catheter therapy;Cyanoacrylate;Therapeutic embolization
数据来源: OVID
摘要:
&NA;We report a new treatment for carotid‐cavernous fistula. Using a flow‐guided, balloon‐tipped microcatheter, we catheterize the fistula itself, verify balloon entry into the fistula with fluoroscopy and x‐ray films, and then infuse the tissue adhesive isobutyl‐2‐cyanoacrylate with careful fluoroscopic control. Three patients have had their fistulas occluded, with preservation of flow through the internal carotid artery. This balloon microcatheter allows the radiologist to perform a reversible test occlusion. All three patients had neurological changes during or after the procedure, and in one we inadvertently occluded several distal middle cerebral artery branches without permanent neurological deficit. No patient became blind or developed 3rd, 4th, or 6th nerve palsy from the treatment. This technique seems to have promise as another method for the obliteration of carotid‐cavernous fistula.
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