J Korean Radiol Soc.  1985 Dec;21(6):858-863. 10.3348/jkrs.1985.21.6.858.

Embolization of internal carotid artery for carotid-cavernous fistula with laminaria

• Cha SJ
• Jeon HJ
• Kim JH
• Cha IH
• Suh WH
• Chu JH
• Lee KC
• Lim CS

• KMID: 2462383
• DOI: http://doi.org/10.3348/jkrs.1985.21.6.858

Abstract

The advanced method, fro treatment of carotid-cavernous fistula, is selective occlusion of fistula bydetachable balloon catheter, with maintaining blood flow in ipsilateral internal carotid artery. But somedisadvantages are in this method, such as high cost for balloon catheter, and difficulty in the technique.Laminaria, root of sea plant, has a character, which is expanded in humidity, about 3-4 times than in drycondition. Lim et al suggested that laminaria made thrombus in a artery without adversed reaction in animal study.Laminaryia, as embolus, has some advantages, which are low cost, easy modelling, and it's specific character. Soauthors made it small club shape for occlusion of internal carotid artery at fistula level, just likely trappingmethod in surgery. Tail portion of the club was inserted into the tip of guiding catheter(7F multipurpose,Cordis), and advanced to cavernous portion of internal carotid artery via catheter introducing sheath from femoralartery or from common carotid artery. And then at the portion of fistula, embolus was detached with guide wire.For 10 months, we have tried the embolization at 4 cases of traumatic CCF. 3 cases were succeeded, and one wasfailed and in death. He had very tortuous vessels, so that laminaria could not be reached at fistula level, onlypetrous portion. And now we suggest a new method and a embolic materal for treatment of carotid -carvernousfistula, which has low cost and simple technique.

MeSH Terms

Animals
Arteries
Carotid Artery, Common
Carotid Artery, Internal*
Catheters
Embolism
Fistula*
Humidity
Laminaria*
Methods
Plants
Tail
Thrombosis