| Endovascular embolization of recurrent traumatic carotid-cavernous fistulas managed previously with detachable balloons. | |
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MedLine Citation:
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PMID: 15211128 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study investigated the causes of recurrent traumatic carotid-cavernous fistulas (RTCCFs) after detachable balloon embolization and evaluated the selection of embolic materials for endovascular treatment of the RTCCFs. METHODS: Over a 10-year period, 116 patients underwent transarterial balloon embolization with occlusion of the fistulas and preservation of the parent arteries. In 15 patients, 18 RTCCFs developed. The causes of RTCCFs included premature balloon deflation and migration (n = 13) or bony fragment puncture of balloons (n = 5). A second or third embolization involved balloons (n = 6), balloons with coils (n = 2), and N-butyl-2-cyanoacrylate with coils (n = 7), or balloon, coils, and N-butyl-2-cyanoacrylate (n = 3). RESULTS: In this study, 17 RTCCFs were successfully occluded after repeat embolization with preservation of parent arteries. One case resulted in recurrent epistaxis. The recurrent fistula and parent artery were occluded with balloons. No significant complications or recurrent fistulas occurred after the last embolization (mean follow-up period, 16 months). CONCLUSIONS: Balloon puncture or premature deflation and migration occasionally cause RTCCFs. Sacrifice of the parent artery rarely is needed. Transarterial embolization remains the best approach, with balloons used first, then coils, N-butyl-2-cyanoacrylate, or both. |
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Authors:
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Chao-Bao Luo; Michael Mu-Huo Teng; David Hung-Tsang Yen; Feng-Chi Chang; Jiing-Feng Lirng; Cheng-Yen Chang |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of trauma Volume: 56 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-06-22 Completed Date: 2004-07-28 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 1214-20 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan. cbluo@vghtpe.gov.tw |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Balloon Occlusion* / adverse effects Carotid-Cavernous Sinus Fistula / therapy* Enbucrilate / analogs & derivatives*, therapeutic use Female Humans Male Middle Aged Prostheses and Implants Recurrence Retreatment Tissue Adhesives / therapeutic use Treatment Failure |
| Chemical | |
Reg. No./Substance:
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0/Tissue Adhesives; 6606-65-1/Enbucrilate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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