Transarterial Treatment of Direct Carotid Cavernous Fistulas with the Assistance of Undetachable Balloons
Figure 1
A 39-year-old male suffered from a right CCF after a history of head injury due to a traffic accident. (a) Lateral projection of right ICA angiogram shows a direct CCF. (b) The ICA was temporarily obstructed after inflating the undetachable balloon. The detachable balloon was successfully placed into the cavernous sinus because the orifice was the main drainage way of ICA at that time. (c) The undetachable balloon was placed at the orifice of the CCF, overlying the detachable balloon. The detachable balloon at the fistular was inflated to a proper size to occlude the orifice of the CCF. (d) Lateral projection of right ICA shows the disappearance of CCF and the preserved ICA.
