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Endovascular graft-stent placement for treatment of traumatic carotid cavernous fistulas.
MedLine Citation:
PMID:  20062575     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Detachable balloon-based endovascular fistula occlusion is a widely accepted treatment for traumatic carotid cavernous fistulas (CCF). However, more recently coils have been used to obliterate the lesion, especially in case detachable balloon is not available. We failed balloon-assisted coil embolization for CCF because of large fistulas and herniation of coil loops into the parent artery. The authors describe our experiences of balloonexpandable graft-stents to treat CCF, and place emphasis on arterial wall reconstruction. Three traumatic CCF patients were treated using a graft-stent with/without coils, and underwent angiographic follow-up to evaluate the patency of the internal carotid artery (ICA). In all cases, symptoms related to CCF regressed after stent deployment and did not recur during follow-up. Follow-up angiography revealed good patency of the ICA in all patients. Graft-stents should be considered as an alternative means of treating CCF and preserving the parent artery by arterial wall reconstruction especially in patients with a fistula that cannot be successfully occluded with detachable balloons or coils.
Authors:
Beom Jin Choi; Tae Hong Lee; Chang Won Kim; Chang Hwa Choi
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Publication Detail:
Type:  Journal Article     Date:  2009-12-31
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  46     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-11     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  572-6     Citation Subset:  -    
Affiliation:
Department of Diagnostic Radiology, Pusan National University Hospital, Busan, Korea.
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