| Direct puncture of a prematurely detached balloon in the supraclinoid ICA via the optic canal during embolisation of a traumatic carotid-cavernous fistula. | |
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MedLine Citation:
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PMID: 19377848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a patient with traumatic carotid-cavernous fistula associated with an isolated internal carotid artery in whom, after trans-arterial balloon embolisation, premature balloon detachment occurred with balloon migration to the supraclinoid carotid artery, leading to total occlusion of the blood flow. The carotid flow was eventually restored by direct puncture of the detached balloon via the optic canal and by deploying a coronary stent to fix the balloon in the vascular wall. The fistula was eventually occluded by using detachable coils. He was discharged with a mild hemiparesis and decreased acuity in the left eye. |
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Authors:
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C-B Luo; M-M H Teng; C-J Lin; F-C Chang; C-Y Chang |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-04-18 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 152 ISSN: 0942-0940 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-06-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 321-4 Citation Subset: IM |
Affiliation:
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Department of Radiology, Taipei Veterans General Hospital and National Yang Ming University School of Medicine, 201, Sec 2, Shih-Pai Road, Taipei, Taiwan, Republic of China. cbluo@vghtpe.gov.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adult Angioplasty / instrumentation, methods Anticoagulants / therapeutic use Balloon Occlusion / adverse effects*, instrumentation, methods Carotid Artery Injuries / etiology*, pathology, physiopathology Carotid Artery, Internal / pathology, physiopathology, surgery Carotid Stenosis / etiology, pathology, surgery Carotid-Cavernous Sinus Fistula / etiology, pathology, surgery* Cerebral Angiography Foreign-Body Migration / etiology*, pathology, physiopathology Humans Iatrogenic Disease / prevention & control Intraoperative Complications / etiology*, pathology, physiopathology Male Motorcycles Platelet Aggregation Inhibitors / therapeutic use Reoperation Sphenoid Bone / anatomy & histology, surgery Stents Surgical Instruments / adverse effects* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Platelet Aggregation Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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