J Korean Radiol Soc.  1992 Feb;28(1):36-41.

Embolization of carotid-cavernous fistula using a silicone balloon and a tracker catheter system

• Kim SY
• Cho KH
• Park BH

Abstract

With the recent introduction and development of the detachable balloon system, it has become the treatment of choice in the management of carotid cavernous fistulas(CCFs). But, since most delivery systems for embolization of CCF mainly depend on flow guidance for balloon delivery, in cases of small fistula, pseudoaneurysm and arterialized venous collaterals, failure of balloon embolization can occur. To overcome these limitations, the authors designed and used a new versatile, steerable, and flow-guided detachable balloon system by using a Tracker catheter system with silicone or latex balloons. Using this maneuver, we could get successful fistula occlusion in 7 out of 8 patients(silicone balloon). But in one case, we had to occlude the internal carotid artery at the fistula site, proximal and distal cervical portions of the internal carotid artery. This balloon delivery system proved to provide high selectivity for fistula and relatively ease of handing.

MeSH Terms

Aneurysm, False
Balloon Occlusion
Carotid Artery, Internal
Catheters*
Fistula*
Hand
Latex
Silicon*
Silicones*
Latex
Silicon
Silicones