| Treatment of 54 traumatic carotid-cavernous fistulas. | |
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MedLine Citation:
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PMID: 6458669 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A series of 54 traumatic carotid-cavernous fistulas has been treated with detachable balloon catheters. The balloon was introduced through one of three different approaches: the endarterial route; the venous route through the jugular vein, the inferior petrosal sinus, and the cavernous sinus; or surgical exposure of the cavernous sinus; with occlusion of the fistula by a detachable balloon directly positioned in the cavernous sinus. Full follow-up review demonstrated that the carotid blood flow was preserved in 59% of cases. The most frequent complication was a transient oculomotor nerve palsy, which occurred in 20% of cases. In three cases where both the fistula and the carotid artery were originally occluded by the balloon, the superior portion of the fistula was later found not to be completely occluded, and these patients had intracranial ligation of the supraclinoid portion of the carotid artery. Three patients had hemiparesis, transient in two cases and permanent in the other. The results show that the fistula was totally occluded in 53 cases; in the one exception the patient became asymptomatic but had a minimal angiographic leak. |
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Authors:
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G Debrun; P Lacour; F Vinuela; A Fox; C G Drake; J P Caron |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 55 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1981 Nov |
Date Detail:
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Created Date: 1982-02-22 Completed Date: 1982-02-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 678-92 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Angiography Angioplasty, Balloon Arteriovenous Fistula / surgery, therapy* Carotid Arteries* Carotid Artery, External / physiopathology Carotid Artery, Internal / radiography Catheterization Cavernous Sinus* Child Child, Preschool Embolization, Therapeutic Female Humans Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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