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Journal of Korean Neurosurgical Society 2002;32(2): 156-158.
Transarterial Guglielmi Detachable Coils Embolization with Stenting for the Treatment of a Traumatic Carotid Cavernous Fistula: Case Report .
Jung Yong Ahn, Hun Kyu Choi, Byung Hee Lee, Eun Wan Choi
1Department of Neurosurgery, Pundang CHA Hospital, Pochon CHA University, Sungnam, Korea.
2Department of Radiology, Pundang CHA Hospital, Pochon CHA University, Sungnam, Korea.
Embolization of a carotid cavernous fistula(CCF) by means of a detachable balloon is a well-established method for treating CCFs while preserving a patent parent internal carotid artery(ICA). However, failure to embolize the CCF may occur on a few occasions. Herein we describe a stent-assisted Guglielmi detachable coil embolization that completely occludes the fistulous opening rather than fills the cavernous sinus. By applying this technique, we successfully treated a CCF, without compromise of the parent ICA in patients who has failed with balloon technique previously.
Key Words: Carotid cavernous fistula; Embolization; Stenting
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