TY - JOUR
T1 - Percutaneous transvascular treatment of giant carotid aneurysms
T2 - Neuro-ophthalmologic findings
AU - Kupersmith, M. J.
AU - Berenstein, A.
AU - Choi, I. S.
AU - Ransohoff, J.
AU - Flamm, E. S.
PY - 1984/3
Y1 - 1984/3
N2 - 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.
AB - 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.
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U2 - 10.1212/wnl.34.3.328
DO - 10.1212/wnl.34.3.328
M3 - Article
C2 - 6538271
AN - SCOPUS:0021345889
SN - 0028-3878
VL - 34
SP - 328
EP - 335
JO - Neurology
JF - Neurology
IS - 3
ER -