Complications of detachable balloon catheter technique in the treatment of traumatic intracranial arteriovenous fistulas

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Abstract
As carotid-cavernous sinus fistulas (CCSF) are not life-threatening, therapeutic attempts should carry a very low morbidity and mortality. Use of detachable balloons is the treatment of choice for CCSF, although this procedure is not without risk. Seven patients were treated for high-flow traumatic intracranial fistulas over the past 2 yr with detachable balloons using a coaxial catheter system. Several complications that were encountered during this experience are presented, and suggestions regarding treatment and avoidance of potential complications are advanced.