J Korean Neurosurg Soc.  1996 Oct;25(10):2131-2135.

Direct Electrothrombosis of a Pseudoaneurysm after Obliteration of a Carotid Cavernous Fistula:Treatment with Guglielmi Detachable Coils: Case Report

• Choi CY
• Kwon JT
• Min BK
• Suk JS
• Kim HJ
• Shim HJ

Abstract

Carotid-cavernous fistulaes are traumatic in origin in over two thirds of all cases. Occlusion of these lesions by endovascular techniques or open surgical approaches is usually indicated. The current treatment of choice is occlusion by use of the intraarterial detachable balloon technique. Pseudoaneurysm, one of the complications after employment of the detachable balloon technique, develop at the balloon placement site after balloon deflation. Its incidence is approximately 44% in the literature. But peudoaneurysms are difficult to treat using endovascular techniques with detachable balloon or coils. The authors report that one case with a pseudoaneurysm who had abducens nerve palsy was treated successfully using Guglielmi detachable coils(GDC). His 6th cranial nerve palsy was improved within 6 weeks.

Keyword

Pseudoaneurysm; Guglielmi detachable coils; Carotid cavernous fistula

MeSH Terms

Abducens Nerve Diseases
Aneurysm, False*
Cranial Nerve Diseases
Employment
Endovascular Procedures
Fistula
Incidence