J Korean Neurosurg Soc.
2002 Aug;32(2):156-158.
Transarterial Guglielmi Detachable Coils Embolization with Stenting for the Treatment of a Traumatic Carotid Cavernous Fistula: Case Report
- Affiliations
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- 1Department of Neurosurgery, Pundang CHA Hospital, Pochon CHA University, Sungnam, Korea.
- 2Department of Radiology, Pundang CHA Hospital, Pochon CHA University, Sungnam, Korea.
Abstract
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Embolization of a carotid cavernous fistula(CCF) by means of a detachable balloon is a well-established method for treating CCFs while preserving a patent parent internal carotid artery(ICA). However, failure to embolize the CCF may occur on a few occasions. Herein we describe a stent-assisted Guglielmi detachable coil embolization that completely occludes the fistulous opening rather than fills the cavernous sinus. By applying this technique, we successfully treated a CCF, without compromise of the parent ICA in patients who has failed with balloon technique previously.