Deflation of metrizamide-filled balloon used to occlude a carotid-cavernous fistula. Case report

T. J. Leipzig, S. F. Mullan

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Abstract

A carotid-cavernous fistula was occluded by a detectable latex balloon. Because of technical problems, the contrast-filled balloon was left in a precarious position in the ostium of the fistula. Premature deflation of the balloon would have resulted in intra-arterial migration of the device. Approximately 1 week is required for the balloon to become secured in place by fibrous attachment to the vascular wall. For success, if the ligature is adequate, a detachable Debrun balloon should remain inflated for this period of time. The deflation process was monitored radiographically in this patient. The balloon remained inflated for at least 2 weeks. A short summary of the experience with deflation of various contrast-containing balloon devices in the treatment of carotid-cavernous fistulas is given. Metrizamide may be the best contrast agent for use in these devices.

Original languageEnglish (US)
Pages (from-to)524-528
Number of pages5
JournalJournal of neurosurgery
Volume59
Issue number3
DOIs
StatePublished - Jan 1 1983

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ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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