n SA Journal of Radiology - Endovascular treatment of post-traumatic carotid-cavernous fistulae using latex detachable balloons : original article




&lt;I&gt;Objective.&lt;/I&gt; To determine the efficiency of latex detachable balloons in the treatment of post-traumatic carotid-cavernous fistulae (CCF). <br><I>Methods.</I>Management and outcome were reviewed for 34 consecutive patients with post-traumatic CCF personally treated by one of the authors (PS) using latex detachable balloons during the 4-year period 1996 - 2000. &lt;br&gt;&lt;I&gt;Results.&lt;/I&gt; Endovascular embolisation of 34 CCFs was attempted in 33 patients. In 1 patient where the fistula was a result of rupture of an intracavernous aneurysm, the fistula thrombosed spontaneously before embolisation was attempted. In the 33 treated patients, the fistula was occluded in 30 cases (91%). Patency of the internal carotid artery was preserved in 16 cases (53%). &lt;br&gt;&lt;I&gt;Conclusion.&lt;/I&gt; A high percentage (91%) of direct CCFs were successfully occluded with latex detachable balloons. There were no permanent neurological complications in any of the patients treated.


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