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Pseudoaneurysm formation following transarterial embolization of traumatic carotid-cavernous fistula with detachable balloon:An institutional cohort long-term study

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World Journal of Radiology 2024年第4期16卷 94-108页

作者： Prasert Iampreechakul Korrapakc Wangtanaphat songpol chuntaroj Yodkhwan Wattanasen Sunisa Hangsapruek Punjama Lertbutsayanukul Pimchanok Puthkhao Somkiet Siriwimonmas Department of Neurosurgery Neurological Institute of ThailandBangkok 10400Thailand Department of Neuroradiology Neurological Institute of ThailandBangkok 10400Thailand Department of Medical Services Neurological Institute of ThailandBangkok 10400Thailand Department of Radiology Bumrungrad International HospitalBangkok 10110Thailand

BACKGROUND The goal of therapy for traumatic carotid-cavernous fistula(TCCF)is the elimination of fistula while maintaining patency of the parent *** treatment for TCCF has evolved from surgery to endovascular management using detachable balloons,coils,liquid embolic agents,covered stents,or flow-diverter stent through arterial or venous *** the withdrawal of detachable balloons from the market in the United States since 2004,transarterial embolization with detachable balloons has currently remained the best initial treatment for TCCF in several ***,the pseudoaneurysm formation following transarterial detachable balloon embolization has rarely been observed in long-term *** To determine the occurrence and long-term follow-up of pseudoaneurysm after transarterial detachable balloon for *** Between January 2009 and December 2019,79 patients diagnosed with TCCF were treated using detachable latex balloons(GOLDBAL)of four *** sizes were stratified into five grades for *** and follow-up assessments involved computed tomography angiography at 1 month,6 month,1 year,and longer intervals for significant *** follow-ups occurred semi-annually for 2 years,then *** analyzed included sex,age,fistula size and location,and balloon *** In our cohort of 79 patients treated for TCCF,pseudoaneurysms formed in 67.1%,with classifications ranging from grade 0 to grade 3;no grade 4 or giant pseudoaneurysms were *** majority of pseudoaneurysms did not progress in size,and some regressed *** developed in most large pseudoaneurysms over 5-10 *** artery occlusion occurred in 7.6%and recurrent fistulas in 16.5%.The primary risk factors for pseudoaneurysm formation were identified as the use of specific balloon sizes,with balloon SP and No.6 significantly associated with its occurrence(P=0.005 and P=0.002,respectively),whereas sex,age,f

关键词： Pseudoaneurysm formation Traumatic carotid-cavernous fistula Direct carotid-cavernous fistula Transarterial embolization Detachable balloon Endovascular treatment Computed tomography angiography Long-term follow-up

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