ENDOVASCULAR MANAGEMENT OF CAROTID-CAVERNOUS FISTULAS - OBSERVATION ON ANGIOGRAPHIC AND CLINICAL-RESULTS

Twenty-five patients with carotid cavernous fistulae (CCFs) were manag ed at our institute during a five-year period. Transarterial and trans venous treatment of traumatic carotid cavernous fistulae using the det achable balloon technique was performed in 21 patients resulting in an giographic and clinical cure in 20 patients and fatal outcome in one p atient following venous rerouting. Surgical ligation of the infraclino id internal carotid artery was needed in one patient. Preservation of the carotid artery was possible in 16 patients. Four patients with spo ntaneous CCFs were advised digital compression of carotid arteries res ulting in complete closure of the fistula in one and considerable clin ical improvement in two patients. One patient required transarterial o bliteration of the fistula via the middle meningeal artery by means of a platinum coil and normal butyl cyanoacrylate (NBCA) resulting in to tal radio anatomical cure.