Table of Contents
ISRN Neurology
Volume 2013, Article ID 152076, 3 pages
Clinical Study

Transarterial Treatment of Direct Carotid Cavernous Fistulas with the Assistance of Undetachable Balloons

Department of Neurosurgery, First Hospital of Jilin University, Changchun 130021, China

Received 26 January 2013; Accepted 16 April 2013

Academic Editors: G. de Courten-Myers, D. Mathieu, and K. R. Pennypacker

Copyright © 2013 Ning Xu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Directed carotid cavernous fistula means high blood flow shunts between the internal carotid artery and the cavernous sinus. Obstructing the abnormal shunt between the internal carotid artery and the cavernous sinus while preserving the internal carotid artery is the key role in fistula treatment. Transarterial balloon embolization is currently the gold standard treatment for most of the carotid cavernous fistulas. But there are still some technical difficulties in the use of detachable balloon to treat carotid cavernous fistulas. Here, we describe undetachable balloon-assisted technique in the embolization of three patients who got complete immediate occlusion of the shunt and preserved the internal carotid artery at the same time.