| Transarterial balloon-assisted n-butyl-2-cyanoacrylate embolization of direct carotid cavernous fistulas. | |
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MedLine Citation:
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PMID: 16908575 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Transarterial detachable balloon embolization of direct carotid cavernous fistulas (DCCFs) has become an optimal treatment. In a few cases, the parent artery has to be sacrificed to achieve morphologic cure. We present our experience with transarterial balloon-assisted n-butyl-2-cyanoacrylate (n-BCA) embolization of DCCFs in which there was failure to achieve angiographic cure and preservation of parent arteries. METHODS: Of 141 patients with traumatic DCCFs who had been treated by transarterial embolization with occlusion of the fistula and parent artery preservation, 18 received transarterial balloon-assisted n-BCA embolization-6 for residual fistula after the balloons detached, 7 for recurrent fistula because of premature balloon deflation or migration, and 5 for repeated puncture of the detachable balloon by the bony fragment at the cavernous sinus. A total of 27 procedures were performed with an average 1.5 attempts per patient, and the volume of the n-BCA mixture varied from 0.5 to 2.3 mL with a mean of 0.83 mL. RESULTS: All DCCFs were successfully occluded by the n-BCA mixture with preservation of parent arteries. One patient with a giant cavernous sinus varix had a fatal subarachnoid hemorrhage. One had a recurrence and was treated by internal carotid artery (ICA) occlusion. Five had asymptomatic pseudoaneurysms at the parent artery. There was no adhesion of the n-BCA mixture to the protective balloon or the microcatheter or n-BCA reflux into the parent arteries. CONCLUSION: Transarterial balloon-assisted n-BCA embolization is a feasible, efficient, and safe treatment for DCCFs when angiographic cure and ICA preservation are not achieved by transarterial detachable balloon embolization. |
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Authors:
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C-B Luo; M M H Teng; F-C Chang; C-Y 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: AJNR. American journal of neuroradiology Volume: 27 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-15 Completed Date: 2006-09-29 Revised Date: 2008-02-14 |
Medline Journal Info:
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Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: United States |
Other Details:
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Languages: eng Pagination: 1535-40 Citation Subset: IM |
Affiliation:
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Department of Radiology, Taipei Veterans General Hospital, No. 201 Section 2 Shih-Pai Road, Beitou, Taipei 112, Taiwan, R.O.C. cbluo@vghtpe.gov.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, False / etiology Balloon Dilatation / methods* Carotid Artery, Internal / pathology, radiography Carotid-Cavernous Sinus Fistula / radiography, therapy* Embolization, Therapeutic / instrumentation, methods* Enbucrilate / administration & dosage, therapeutic use* Feasibility Studies Female Follow-Up Studies Humans Male Middle Aged Recurrence Retreatment Safety Subarachnoid Hemorrhage / etiology Tissue Adhesives / administration & dosage, therapeutic use* Treatment Outcome Varicose Veins / therapy |
| 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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