Combined transarterial N-butyl cyanoacrylate and coil embolization of direct carotid-cavernous fistulas. Report of two cases.

Abstract

The authors report two cases of traumatic carotid-cavernous fistulas treated successfully with combined N-butyl cyanoacrylate glue and coil embolization via a transarterial approach. In both cases complete occlusion of the fistula was achieved, with preservation of the parent carotid artery. Casting of the cavernous sinus with a liquid embolic agent was well tolerated and produced no complications of cranial nerve palsy. This technique provides interventionalists with yet another treatment option in these often complex cases.

• Authors: Neil A Troffkin, Curtis A Given 2nd
• Journal: Journal of neurosurgery (J Neurosurg) Vol. 106 Issue 5 Pg. 903-6 (May 2007) ISSN: 0022-3085 [Print] United States
• PMID: 17542538 (Publication Type: Case Reports, Journal Article)

Chemical References

• Tissue Adhesives
• Enbucrilate

Topics

• Adult
• Carotid-Cavernous Sinus Fistula (diagnostic imaging, therapy)
• Cerebral Angiography
• Embolization, Therapeutic
• Enbucrilate (administration & dosage)
• Humans
• Male
• Skull Base (injuries)
• Skull Fractures (diagnostic imaging, therapy)
• Subarachnoid Hemorrhage (diagnostic imaging, therapy)
• Tissue Adhesives (administration & dosage)