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J Clin Neurosci. 2003 Jan;10(1):96-8.

Stent-assisted Guglielmi detachable coils embolisation for the treatment of a traumatic carotid cavernous fistula.

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Department of Neurosurgery, Pundang CHA Hospital, Pochon University of Medical College, Sungnam, Republic of Korea.


Embolisation of a carotid cavernous fistula by means of a detachable balloon is a well-established method for treating carotid cavernous fistulas while preserving a patent internal carotid artery. However, failure to embolise the carotid cavernous fistula may occur. Herein we describe a stent-assisted Guglielmi detachable coil embolisation that completely occludes the fistulous opening rather than fills the cavernous sinus. By applying this technique, we successfully treated a carotid cavernous fistula, without compromise of the parent internal carotid artery when the balloon technique failed.

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