BALLOON OCCLUSION OF THE CAROTID-ARTERY IN THE TREATMENT OF CAVERNOUSGIANT ANEURYSMS - 2 CASES

Over recent years, endovascular occlusion of the carotid artery has be come a valid alternative to its more traditional surgical ligation in the treatment of cavernous giant aneurysms. The authors report two cas es treated with balloon occlusion in two patients with clinical signs of cavernous sinus syndrome. The procedure consisted of occluding the aneurysm and the carotid by means of detachable balloons. This was pre ceded by a 30-minute clinically monitored occlusion test aimed at eval uating the functioning of Willis' circle. The treatment was carried ou t under neuroleptoanalgesia, so optimal control of the neurological co ndition of the patient was possible. Partial symptom regression was ob tained in both cases.