Abstract
The intraarterial treatment of carotid-cavernous fistulas can be carried out rationally by considering a number of different factors. These include the site of the fistula, its size, its supply, its clinical presentation, associated vascular injuries, and the tolerance to carotid occlusion by a direct intraarterial balloon test. Careful attention to these features and familiarity with a variety of catheter systems, detachable balloons, and tissue adhesives will allow the operator to select the best treatment for each patient. Seven patients are described to illustrate these considerations.
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