Purpose: To detect the value of digital subtraction angiography (DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula (TCCF).
Method: 9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively.
Result: Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed.
Conclusion: DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.