Balloon reconstructive technique for the treatment of a carotid cavernous fistula

Endovascular treatment of carotid cavernous fistulas (CCFs) presents many t echnical difficulties and hazards, some unique to each patient. This report details some of the difficulties encountered in the treatment of a 63-year -old patient with a CCF and an ipsilateral internal carotid artery dissecti on. After failure of conventional techniques using a detachable balloon, co mplete closure of the CCF was achieved by transvenous coil embolization whi le the arterial lumen was protected by a nondetachable balloon catheter.