[Use of the inflated balloon catheter in the treatment of carotid-cavernous fistula].

Abstract

In the vast majority of techniques used to treat carotid-cavernous fistulas the carotid artery has been occluded. Occlusion of the fistula with preservation of carotid blood flow is achieved by new techniques as those proposed by Parkinson, Serbinenko and Mullan. However the sophisticated equipments and surgical acts which are needed for these methods has not allowed its general use. The use of Fogarty type balloon catheters has had a place in the treatment of carotido-cavernous fistulas. The carotid artery has to be occluded too, but the procedure is much safer and easier. Our results in a series of 6 cases are reported. Considerations about indications and the technical aspects are made. The results were good and the procedure may be used with conventional equipment.