Search Results

You are looking at 1 - 10 of 51 items for :

  • "detachable balloon catheter" x
Clear All
Restricted access

Detachable balloon catheter

Its application in experimental arteriovenous fistulae

Michael V. DiTullio Jr., Robert W. Rand and Eldon Frisch

applicability and overall reliability of this detachable balloon catheter. Notwithstanding our intraoperative results, some postsurgical complications occurred. In two animals the subsequent rupture or deflation of balloons ultimately resulted in delayed recurrence of the fistulous defect, an undesirable event that happened early in our balloon-making experience. This represented 11% of the experimental subjects and only 5.5% of all implanted devices. In two additional subjects, overzealous inflation of the balloons caused excessive intraluminal pressure with resultant

Restricted access

Daniel L. Barrow, Alan S. Fleischer and James C. Hoffman

requiring sacrifice of the internal carotid artery (ICA), and, more recently, techniques to occlude the fistula while maintaining blood flow in the parent artery. In 1974, Serbinenko 26 was the first to describe the use of a balloon catheter to selectively occlude human cerebral vessels temporarily or permanently. Of particular interest was his idea of using a detachable balloon to occlude an anatomic defect such as an arteriovenous fistula. It was 1978 before Debrun, et al. , 8 introduced detachable balloon catheterization to the western world with a description of

Restricted access

Aldo Benati, Adriano Maschio, Stefano Perini and Alberto Beltramello

✓ Five cases of posttraumatic carotid-cavernous fistula are reported. The fistulas were occluded by intravascular detachable balloons, as described by Serbinenko and later modified by Debrun. The good results obtained in three of these patients illustrate the value of this procedure, as it allows a direct obliteration of the fistula with preservation of the internal carotid blood flow.

Restricted access

David J. Chalif, Eugene S. Flamm, Alex Berenstein and In Sup Choi

carotid-cavernous fistulas, complications have been relatively infrequent. 2–4, 6, 9, 13, 20, 23, 26 Barrow, et al. , 3 have recently reported several problems associated with detachable balloon catheter techniques used in the treatment of traumatic carotid-cavernous fistulas, but made no report of distal intraoperative balloon embolization. However, these authors noted one case of acute and complete occlusion of the left middle cerebral artery (MCA), presumably from a platelet embolus originating from the catheter tip. This patient was treated with volume expansion

Restricted access

Brian M. Tress, Kenneth R. Thomson, Geoffrey L. Klug, Roger R. B. Mee and Bruce Crawford

carotidcavernous fistulas. 1, 6 Release of one or more balloons from a detachable balloon catheter within the sinus has resulted in obliteration of the fistulas with preservation of the ICA in the majority of cases. 2, 3, 13 Two new methods of approach, both of which combine surgical exposure of vessels to permit passage of a detachable balloon catheter and standard radiological obliterative techniques, are described. Case Reports Case 1 This 15-year-old girl had undergone ligation procedures of the right supraclinoid portion of the ICA and the right internal

Restricted access

Daniel L. Barrow, Robert H. Spector, Ira F. Braun, Jeffrey A. Landman, Suzie C. Tindall and George T. Tindall

using a Crutchfield clamp. Although the patient did well, we do not recommend this procedure for treating CCSF's. The fistula itself may remain patent and recruit blood from other sources. Such circumstances increase the risk of cerebral ischemia and preclude the later use of balloon embolization techniques. The use of detachable balloon catheters has revolutionized the treatment of Type A direct CCSF's. 2, 8–10, 32, 36 The small-diameter vessels that often constitute the dural fistulas usually do not allow the introduction of a balloon, and the balloon must

Restricted access

Gérard Debrun, Pierre Lacour, Jean-Pierre Caron, Michel Hurth, Jean Comoy and Yves Keravel

material. Fig 1. Different types of latex sleeves. There are two basic types of detachable balloon catheters: Type I, in which the balloon is not firmly attached to the catheter, requires no second catheter for detachment, and is not self-sealing; and Type II, in which the balloon is tied to the catheter with latex thread, requires a second coaxial catheter for detachment, and is self-sealing. The balloon catheter technique can be used to treat carotid-cavernous sinus and vertebral fistulas, intracerebral aneurysms, and some brain angiomas. Type I

Restricted access

Gérard Debrun, Pierre Lacour, Fernando Vinuela, Allan Fox, Charles G. Drake and Jean P. Caron

T raumatic carotid-cavernous fistulas can be treated in different ways. 1, 3, 5–8, 15–31 Permanent occlusion of the fistulas and the carotid artery with a Fogarty catheter 6, 7, 10, 12, 14, 19, 27–29, 34 is gradually being replaced by more sophisticated techniques, all of which aim to occlude the fistula while preserving carotid blood flow. 1, 3, 5, 9, 13, 15–18, 20, 22, 23, 25, 31–33 These new techniques use different approaches. In the first, a detachable balloon catheter is introduced via an endarterial route, and enters the cavernous sinus through the

Restricted access

Neil R. Miller, Lee H. Monsein, Gerard M. Debrun, Rafael J. Tamargo and Haring J. W. Nauta

– 383 , 1989 Halbach VV, Higashida RT, Hieshima GB, et al: Transvenous embolization of dural fistulas involving the cavernous sinus. AJNR 10: 377–383, 1989 9. Hanneken AM , Miller NR , Debrun GM , et al : Treatment of carotid-cavernous sinus fistulas using a detachable balloon catheter through the superior ophthalmic vein. Arch Ophthalmol 107 : 87 – 92 , 1989 Hanneken AM, Miller NR, Debrun GM, et al: Treatment of carotid-cavernous sinus fistulas using a detachable balloon catheter through the superior ophthalmic

Restricted access

Fernando Viñuela, Allan J. Fox, Shinichi Kan and Charles G. Drake

✓ A case is reported of a large spontaneous right posterior inferior cerebellar artery fistula in which the patient presented with a right cerebellopontine (CP) angle and right cerebellar syndrome. The patient was successfully treated by balloon occlusion at the fistula site. The location of the arteriovenous fistula, the mass effect of its enlarged draining veins on the cerebellum and CP angle structures, and the simple therapeutic endovascular occlusion with a detachable balloon make this case unique.