Objective: To treat carotid-cavernous sinus fistulae mmunications between 43 patients with endovascular procedure.
Method: Of the 43 patients 37 were male and 6 female. Traumatic and spontaneous CCF were noted in 39 and 4 patients respectively. 36 patients with CCF were given ICA alone, both internal and external carotid arteries in 7. Fistulae occlusion in 31 patients and ICA obliteration in 12 patients were achieved with transarterial detachable balloon technique. External carotid feeding arteries were embolized with silk suture in 7 patients.
Result: Angiographic and clinical cure wer obtained in 39 patients and improved in 4. One patient was complicated by hemiplegia postoperatively.
Conclusion: Endovascular balloon embolization is the first method of choice in dealing with carotid-cavernous fistulae.