Microsurgical removal of a balloon embolus to the internal carotid artery. Case report.

✓ A complication of treatment of posttraumatic carotid-cavernous fistulas by detachable balloon techniques is presented. During occlusion of the fistula, a balloon embolus migrated from the cavernous sinus into the bifurcation of the internal carotid artery. The resultant neurological deficit was immediately treated with hypertension and volume expansion. The patient underwent direct microsurgical embolectomy and suffered no postoperative neurological sequelae. The significance and management of this complication are discussed.

[1]  R. R. Smith,et al.  End-to-end anastomosis of the anterior cerebral artery after excision of a giant aneurysm. Case report. , 1982, Journal of neurosurgery.

[2]  D. Barrow,et al.  Complications of detachable balloon catheter technique in the treatment of traumatic intracranial arteriovenous fistulas. , 1982, Journal of neurosurgery.

[3]  F. Simeone,et al.  Failure of intravascular volume expansion without hemodilution to elevate cortical blood flow in region of experimental focal ischemia. , 1982, Journal of neurosurgery.

[4]  F. Simeone,et al.  Effect of extracranial-intracranial bypass and pentobarbital on acute stroke in dogs. , 1982, Journal of neurosurgery.

[5]  G. Tindall,et al.  Cerebral vasospasm following aneurysm rupture. A protocol for therapy and prophylaxis. , 1980, Journal of neurosurgery.

[6]  E. Neuwelt,et al.  Failure of extracranial-intracranial arterial bypass in acute middle cerebral artery occlusion: case report. , 1980, Neurosurgery.

[7]  F. Simeone,et al.  Treatment of intraoperative middle cerebral artery occlusion with pentobarbital and extracranial-intracranial bypass. Case report. , 1979, Journal of neurosurgery.

[8]  J. McGillicuddy,et al.  Gradual carotid artery occlusion in the treatment of inaccessible internal carotid artery aneurysms. , 1979, Neurosurgery.

[9]  R. Spetzler,et al.  Extracranial-intracranial arterial bypass to a single branch of the middle cerebral artery in the management of a traumatic aneurysm. , 1979, Neurosurgery.

[10]  P. Nelson,et al.  Hypovolemia in patients with subarachnoid hemorrhage: therapeutic implications. , 1979, Neurosurgery.

[11]  R. Prager,et al.  Treatment of patients with neurological deficits associated with cerebral vasospasm by intravascular volume expansion. , 1978, Neurosurgery.

[12]  G. Debrun,et al.  Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. , 1978, Journal of neurosurgery.

[13]  S. Mullan,et al.  Treatment of aneurysmal hemiplegia with dopamine and mannitol. , 1978, Journal of neurosurgery.

[14]  D. Samson,et al.  Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts. , 1978, Neurosurgery.

[15]  Y. Yonekawa,et al.  Results of microsurgical extra-intracranial arterial bypass in the treatment of cerebral ischemia. , 1977, Neurosurgery.

[16]  Smith Dr,et al.  Giant fusiform middle cerebral aneurysm: successful treatment utilizing microvascular bypass. , 1977 .

[17]  J. Hanbery,et al.  Balloon occlusion of carotid-cavernous fistula: introduction of a new catheter. , 1977, Surgical neurology.

[18]  Fleischer As,et al.  Balloon occlusion and embolization of an internal and external carotid-cavernous fistula. , 1977 .

[19]  T. Sundt,et al.  Bypass surgery for vascular disease of the carotid system. , 1976, Mayo Clinic proceedings.

[20]  W. Hunt,et al.  Postoperative hypertension in the management of patients with intracranial arterial aneurysms. , 1976, Journal of neurosurgery.

[21]  L. R. Nelson,et al.  Occlusion of carotid-cavernous fistula with a balloon catheter. , 1975, Surgical neurology.

[22]  O. Sugar,et al.  Treatment of postangiographic hemiplegia with vasopressors. Case report. , 1974, Journal of neurosurgery.

[23]  Serbinenko Fa.  Balloon catheterization and occlusion of major cerebral vessels , 1974 .

[24]  J. Fein,et al.  Experimental augmentation of regional cerebral blood flow by microvascular anastomosis. , 1974, Journal of neurosurgery.

[25]  G. Wise,et al.  The Treatment of Brain Ischemia With Vasopressor Drugs , 1972, Stroke.

[26]  L. Kempe,et al.  Temporary experimental intracranial vascular occlusion. Effect of massive doses of heparin on brain survival. , 1969, Journal of neurosurgery.

[27]  R. Schneider,et al.  Observations on the effect of systemic blood pressure on intracranial circulation in patients with cerebrovascular insufficiency. , 1967, Journal of neurosurgery.

[28]  J. Marshall.  Management of Cerebrovascular Disease , 1965 .

[29]  J. Adams,et al.  Value of hypothermia and arterial occlusion in the treatment of intracranial aneurysms. , 1962, Journal of neurosurgery.

[30]  Pool Jl.  Aneurysms of the anterior communicating artery. Bifrontal craniotomy and routine use of temporary clips. , 1961 .

[31]  T. Rasmussen,et al.  Occlusion of the middle cerebral artery; an experimental study. , 1951, A.M.A. archives of neurology and psychiatry.