Treatment Of Traumatic Carotid-Cavernous Fistula With Detachable Balloon

ObjectiverTo report 20 cases of traumatic carotid cavernous fistula,which treated by balloon occlusion via intravascular.We summarized clinical material,methods,results,postoperative complications and therapy. Clinical materialrOf the 20 patients, 16 were male and 4 female, with a mean age of 32.5 years. All patients had chemosis, audible bruit and exophthahnos, of which 16 had restriction of eye movements. DSA showed that 9 patients had the fistula in Ca segment, 5 in Cs.4 segments, 6 in C45 segments, that 13patients drainaged to superior ophthalmic vein,7 to superior and inferior petrosal sinuses,2 to pial cerebral veins. Methods: The femoral artery approach and the technique of detachable balloon catheter were used in all patients. Results: First complete occlusion of fistula was achieved in 18 patients , of whom 16 had ICA preserved. The preservation rate of the flow of ICA was 80%(16/20). The second occlusion was used in 1 patient. No serious complications occurred. Conclusion: The technique of detachable balloon catheter is the best for the treatment of TCCF, in which a few patients may have some complications, but the complications will be avoided if we take some preventative measures.Graduatestudent: Tinglin sui (neurosurgery) Derected by Qinghai meng...