Abstract
Twelve of 17 patients with cavernous carotid aneurysms had balloon embolization directed through a percutaneous double lumen catheter for progressive pain, ophthalmoplegia, or visual loss. Functional angiography was carried out with systemic heparinization and double-lumen balloon catheters to test tolerance to carotid occlusion. Eleven were successfully treated, though two patients with initial preservation of the ipsilateral carotid artery had unplanned deflation of the balloon, necessitating re-embolization. No serious permanent neurologic complications occurred. All patients had complete resolution of pain, and nine had improvement in the extraocular eye muscle and lid function. Balloon trapping of the cavernous carotid artery, rather than placing the balloon directly into the aneurysm, resulted in involution of the aneurysm and decompression of the involved cranial nerves.
Citations
Jan 1, 1992·Neuroradiology·V Vazquez AñonJ J Merland
Aug 27, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Robert M StarkeAaron S Dumont
Jan 6, 2004·International Ophthalmology Clinics·Dean M Cestari, Joseph F Rizzo
Nov 15, 2005·Neurosurgery·Hadas Stiebel-KalishMark J Kupersmith
May 1, 1997·AACN Clinical Issues·M K Bader
May 18, 2004·Journal of Neurology, Neurosurgery, and Psychiatry·N Goldenberg-CohenK P J Murphy
Jun 1, 1994·Ophthalmology·M E VargasA Berenstein
Feb 20, 2013·The Medical Clinics of North America·Corey W WaldmanReid A Waldman
Nov 26, 2015·Neuro-Chirurgie·M LonjonB Bataille
Mar 25, 2014·Journal of Neurointerventional Surgery·Zaahir A TurfeDavid F Kallmes
Jun 24, 2009·Arquivos de neuro-psiquiatria·Lucas Perez de VasconcellosCarmen Lúcia Penteado Lancellotti
Jun 12, 2008·Arquivos de neuro-psiquiatria·Lucas Perez de VasconcellosPedro Shiozawa
Jun 1, 1990·Journal of Neurosurgery·R T HigashidaG B Hieshima
Apr 1, 1994·Journal of Neurosurgery·V V HalbachG B Hieshima
Nov 1, 1992·Journal of Neurosurgery·M J KupersmithJ Ransohoff
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·Irene C van der SchaafGabriël J E Rinkel
Apr 12, 2007·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Ali A BodlaAndrew Inglis
Dec 25, 2019·Acta neurochirurgica·Dan S HeffezJugal Ghorai
Dec 25, 2019·Acta neurochirurgica·Dan S HeffezBernard Cohen
Dec 22, 2000·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S J Kim, I S Choi
Sep 15, 2006·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·M B DíazL A Lemme Plaghos
Nov 1, 1994·Survey of Ophthalmology·D A WeinbergT L Vollmer