Embolization with Temporary Balloon Occlusion of the Internal Carotid Artery and In Vivo Proton Spectroscopy Improves Radical Removal of Petrous-tentorial Meningioma

Balloon Test occlusion (BTO) is a preoperative angiographic test used to estimate the risk of stroke after permanent therapeutic occlusion of an internal carotid artery (ICA) involved by aneurysms. Temporary balloon occlusion at the cavernous ICA aneurysm neck was performed in an attempt to assess the adequacy of cross flow from the opposite ICA. Adequate fl ow following BTO are preferred to have simple ICA ligation and incase of those who did not pass BTO trapping and high flow bypass is preferred .We have done Right ICA Ligation on our case report.Nepal Journal of Neuroscience, Vol. 14, No. 2, 2017 Page:32-35

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Combined Use of Intraoperative DSA, Temporary Balloon Occlusion and Retrograde Suction Decompression Technique in Surgery for Complex Internal Carotid Artery Aneurysms

Skull Base Surgery ◽

10.1159/000429943 ◽

2015 ◽

pp. 670-673

Author(s):

Kazuo Mizoi ◽

Takashi Yoshimoto ◽

Akira Takahashi ◽

Satoru Fujiwara ◽

Keiji Koshu

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Balloon Occlusion ◽

Combined Use ◽

Temporary Balloon Occlusion

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Giant Aneurysm of the Cervical Internal Carotid Artery Treated by Proximal Coil Embolization under Temporary Balloon Occlusion

Interventional Neuroradiology ◽

10.1177/159101990100700409 ◽

2001 ◽

Vol 7 (4) ◽

pp. 331-335 ◽

Cited By ~ 2

Author(s):

A. Uchino ◽

Y. Takase ◽

T. Koizumi ◽

S. Kudo

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Giant Aneurysm ◽

Balloon Occlusion ◽

Partial Filling ◽

Coil Occlusion ◽

Platinum Coils ◽

Temporary Balloon Occlusion ◽

Cervical Internal Carotid Artery

We report a patient with a giant aneurysm on the left cervical internal carotid artery (ICA) treated successfully by proximal coil occlusion. Fibered platinum coils were delivered via a 5-F catheter under temporary balloon occlusion of the proximal ICA and without complications. MR imaging ten months after the procedure showed the aneurysm to be reduced in size and subtotally thrombosed. Retrograde partial filling of the aneurysmal lumen was present, however. We describe the case in detail and discuss the ideal treatment of the cervical ICA aneurysm.

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Cavernous sinus embolisation prior to removal of penetrating foreign body in a 6-year-old child

BMJ Case Reports ◽

10.1136/bcr-2020-237301 ◽

2020 ◽

Vol 13 (12) ◽

pp. e237301

Author(s):

Kartik D Bhatia ◽

Heath French ◽

Gemma Olsson ◽

Krishna Tumuluri

Keyword(s):

Foreign Body ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Cavernous Sinus ◽

Internal Carotid ◽

Arterial Injury ◽

Balloon Occlusion ◽

Parent Vessel ◽

Intraoperative Bleeding ◽

Temporary Balloon Occlusion

Transorbital penetrating foreign bodies are extremely rare in children and may penetrate the cavernous sinus or the underlying internal carotid artery. Parent vessel sacrifice and temporary balloon occlusion are feasible options for managing arterial injury during removal of the foreign body. Even in the absence of arterial injury, the ophthalmologist may encounter significant bleeding from the cavernous sinus deep in their operative field that is difficult to control. We present a case of a 6-year-old child with a stick penetrating the left superior orbit to enter the cavernous sinus but sparing the internal carotid artery. We describe the first reported experience of prophylactic coil embolisation of the cavernous sinus to minimise intraoperative bleeding during transorbital removal of a foreign body with an excellent clinical outcome.

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