Direct Electrothrombosis of a Pseudoaneurysm after Obliteration of a Carotid Cavernous Fistula:Treatment with Guglielmi Detachable Coils: Case Report.
- Author:
Chan Young CHOI
1
;
Jeong Taik KWON
;
Byung Kook MIN
;
Jong Sik SUK
;
Hyeon Joo KIM
;
Hyung Jin SHIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Pseudoaneurysm;
Guglielmi detachable coils;
Carotid cavernous fistula
- MeSH:
Abducens Nerve Diseases;
Aneurysm, False*;
Cranial Nerve Diseases;
Employment;
Endovascular Procedures;
Fistula;
Incidence
- From:Journal of Korean Neurosurgical Society
1996;25(10):2131-2135
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carotid-cavernous fistulaes are traumatic in origin in over two thirds of all cases. Occlusion of these lesions by endovascular techniques or open surgical approaches is usually indicated. The current treatment of choice is occlusion by use of the intraarterial detachable balloon technique. Pseudoaneurysm, one of the complications after employment of the detachable balloon technique, develop at the balloon placement site after balloon deflation. Its incidence is approximately 44% in the literature. But peudoaneurysms are difficult to treat using endovascular techniques with detachable balloon or coils. The authors report that one case with a pseudoaneurysm who had abducens nerve palsy was treated successfully using Guglielmi detachable coils(GDC). His 6th cranial nerve palsy was improved within 6 weeks.