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Direct puncture of a prematurely detached balloon in the supraclinoid ICA via the optic canal during embolisation of a traumatic carotid-cavernous fistula

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Summary

We report a patient with traumatic carotid-cavernous fistula associated with an isolated internal carotid artery in whom, after trans-arterial balloon embolisation, premature balloon detachment occurred with balloon migration to the supraclinoid carotid artery, leading to total occlusion of the blood flow. The carotid flow was eventually restored by direct puncture of the detached balloon via the optic canal and by deploying a coronary stent to fix the balloon in the vascular wall. The fistula was eventually occluded by using detachable coils. He was discharged with a mild hemiparesis and decreased acuity in the left eye.

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Authors and Affiliations

  1. Department of Radiology, Taipei Veterans General Hospital and National Yang Ming University School of Medicine, 201, Sec 2, Shih-Pai Road, Taipei, Taiwan, Republic of China

    C.-B. Luo, M.-M. H. Teng, F.-C. Chang & C.-Y. Chang

  2. Department of Medical Imaging, Far Eastern Memorial Hospital, Pan-Chiao City, Taiwan, Republic of China

    C.-J. Lin

Authors
  1. C.-B. Luo
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  2. M.-M. H. Teng
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  3. C.-J. Lin
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  4. F.-C. Chang
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  5. C.-Y. Chang
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Corresponding author

Correspondence to C.-B. Luo.

Additional information

This work was supported in part by a grant from the Taipei Veterans General Hospital (V96C1-073, V97C1-139) and NSC 97-2314-B-075-062-my2.

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Luo, CB., Teng, MM.H., Lin, CJ. et al. Direct puncture of a prematurely detached balloon in the supraclinoid ICA via the optic canal during embolisation of a traumatic carotid-cavernous fistula. Acta Neurochir 152, 321–324 (2010). https://doi.org/10.1007/s00701-009-0319-0

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  • DOI: https://doi.org/10.1007/s00701-009-0319-0

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