Assessment of balloon occlusion test of internal carotid artery.

Object. The aim of this study was to determine the prevalence of angiographically identifiable skull base arterial branches that potentially serve as collateral conduits during a balloon occlusion test (BOT) of the internal carotid artery (ICA). The authors posited that neurological deficits in patients who had previously tolerated the occlusion test may be attributable to an unrecognized collateral support through these channels (operant during proximal ICA BOT) when permanent ICA occlusion was performed more distally. Methods. In 481 cases (962 ICAs), cerebral angiograms obtained during routine Wada testing were retrospectively reviewed. Two hundred sixty-one patients had at least one angiographically identifiable ICA branch; 109 patients had two or more branches. A meningohypophyseal branch of the cavernous ICA was identified on the right side in 108 patients and on the left in 122. A vidian artery originated from the petrous portion of the ICA on the right side in 58 patients and on the left in 85. The inferolateral trunk revealed itself as a branch of the cavernous ICA on the right side in 17 patients and on the left in 33. A caroticotympanic artery arose from a left cavernous ICA. A persistent trigeminal artery was situated on the right side in two patients and on the left in three. More than half of the patients had angiographically identifiable and perhaps hemodynamically significant skull base branches of the ICA, and approximately one quarter had more than one identifiable branch. Conclusions. The authors recommend that patients be screened during angiography studies performed prior to BOT in branches of the proximal intracranial ICA and that the site of BOT be moved distally if such branches are identified.

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Endovascular Trapping for a Giant Aneurysm of the Cervical Internal Carotid Artery: A Case Report

Interventional Neuroradiology ◽

10.1177/159101990701300308 ◽

2007 ◽

Vol 13 (3) ◽

pp. 281-285 ◽

Cited By ~ 4

Author(s):

H. Nakayama ◽

S. Iwabuchi ◽

M. Hayashi ◽

T. Yokouchi ◽

H. Terada ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Giant Aneurysm ◽

Carotid Bifurcation ◽

Balloon Occlusion ◽

Occlusion Test ◽

Balloon Occlusion Test ◽

The Right ◽

Cervical Internal Carotid Artery

We describe a case of giant cervical internal carotid aneurysm successfully treated by endovascular trapping. A 57-year-old woman with a history of maxillary contusion seven years before presented with pharyngeal discomfort during swallowing. MRI revealed a 4 cm mass in the right parapharyngeal space. A common carotid angiogram revealed a giant aneurysm with a wide neck originating from the cervical internal carotid artery; kinking of the internal carotid artery was noted at a point distal to the carotid bifurcation. Analysis of cerebral blood flow by SPECT during a balloon occlusion test showed no hypoperfusion areas, and the patient underwent endovascular trapping. There were no neurological or other complications after the procedure. A follow-up MRI revealed complete thrombosis of the aneurysm. Our results show that endovascular trapping for pseudoaneurysm of the cervical internal carotid artery can be a reliable and effective treatment in patients who tolerate a balloon occlusion test.

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A Provocative Internal Carotid Artery Balloon Occlusion Test with 99mTc-HM-PAO CBF Mapping —Report of Three Cases—

Neurologia medico-chirurgica ◽

10.2176/nmc.32.747 ◽

1992 ◽

Vol 32 (10) ◽

pp. 747-752 ◽

Cited By ~ 13

Author(s):

Masaki KOMIYAMA ◽

Virender K. KHOSLA ◽

Katsuhiko TAMURA ◽

Yasunori NAGATA ◽

Mitsuru BABA

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Balloon Occlusion ◽

Occlusion Test ◽

Mapping Report ◽

Balloon Occlusion Test

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Balloon occlusion test of the internal carotid artery: correlation with stump pressure and99mTc-HMPAO SPECT

Acta Radiologica ◽

10.1080/02841850600977745 ◽

2006 ◽

Vol 47 (10) ◽

pp. 1073-1078 ◽

Cited By ~ 14

Author(s):

K. Kato ◽

N. Tomura ◽

S. Takahashi ◽

I. Sakuma ◽

K. Sasaki ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Balloon Occlusion ◽

Occlusion Test ◽

Balloon Occlusion Test ◽

Hmpao Spect ◽

Stump Pressure

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Validity of venous phase delay assessment in balloon occlusion test of internal carotid artery

Experimental and Therapeutic Medicine ◽

10.3892/etm.2018.7009 ◽

2018 ◽

Author(s):

Zhu Chen ◽

Li‑Nan Hu ◽

Hui Zhu ◽

En‑Hua Xiao

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Balloon Occlusion ◽

Phase Delay ◽

Occlusion Test ◽

Balloon Occlusion Test ◽

Venous Phase

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Cavernous Sinus Exenteration for Invasive Cranial Base Tumors

Neurosurgery ◽

10.1227/01.neu.0000053364.33375.c2 ◽

2003 ◽

Vol 52 (4) ◽

pp. 772-782 ◽

Cited By ~ 23

Author(s):

Bernard George ◽

Cristina Anastasia Ferrario ◽

Alexandre Blanquet ◽

Frédéric Kolb

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Cavernous Sinus ◽

Internal Carotid ◽

Balloon Occlusion ◽

Biological Behavior ◽

Cerebrospinal Fluid Leakage ◽

External Carotid ◽

Occlusion Test ◽

Balloon Occlusion Test

Abstract OBJECTIVE Invasive tumors involving the cavernous sinus, such as recurrent benign meningiomas or sarcomas, raise therapeutic problems that may be resolved by cavernous sinus exenteration (CSE). METHODS Our series comprises 18 patients (9 women and 9 men ranging in age from 14 to 64 yr) who underwent CSE during the past 8 years. The tumors in these patients included 12 meningiomas, 3 chondrosarcomas, 1 rhabdomyosarcoma, 1 lipomyosarcoma, and 1 epidermoid carcinoma. Preoperative occlusion of the internal carotid artery was confirmed in 15 cases by a balloon occlusion test. Three patients had a negative balloon occlusion test, and their internal carotid arteries were preserved (n = 1) or revascularized (n = 2) through an external carotid artery-to-middle cerebral artery bypass. RESULTS CSE was performed as a primary treatment in 5 patients and after one to five recurrences in 13 patients. In all patients, CSE included the internal carotid artery and Cranial Nerves III, IV, and VI and one to three branches of Cranial Nerve V. Orbital exenteration was performed in eight patients, and partial hypophysectomy was performed in five patients. Ten patients had received radiotherapy before CSE, and five patients underwent irradiation after CSE. The operative mortality includes two patients. Cerebrospinal fluid leakage was the main complication in four patients, with three patients having meningitis. Follow-up ranged from 6 months to 5 years, with three deaths from new recurrences at 2, 3, and 4 years after CSE. As compared with their clinical courses before CSE, all patients except the two who died postoperatively benefited from CSE. CONCLUSION CSE has useful indications in invasive and rapidly growing tumors, including apparently benign meningiomas. A better understanding of the biological behavior of these tumors is necessary for appropriate selection of patients for CSE.

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Traumatic Bilateral Carotid-Cavernous Fistulas Treated with Detachable Balloon

Acta Radiologica ◽

10.1177/02841851960371p109 ◽

1996 ◽

Vol 37 (1P1) ◽

pp. 46-48 ◽

Cited By ~ 12

Author(s):

J. K. Kim ◽

J. J. Seo ◽

Y. H. Kim ◽

H. K. Kang ◽

J. H. Lee

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Venous Drainage ◽

Balloon Occlusion ◽

Detachable Balloon ◽

Balloon Occlusion Test ◽

Bilateral Carotid ◽

The Right ◽

Carotid Cavernous Fistulas

A 29-year-old male developed ptosis and progressive pulsating protrusion of the right eye, accompanied by conjunctival injection and tinnitus following a bicycle accident. MR angiography revealed dilation of both superior ophthalmic veins and facial veins. Right internal carotid angiography demonstrated right carotid-cavernous fistula (CCF) at the C3 portion of the right internal carotid artery with abnormal venous drainage. After right carotid balloon occlusion test had been performed, a detachable balloon was introduced into the right CCF while preserving the lumen of the right internal carotid artery. A left CCF, which was detected after closure of the right CCF, was also closed with a detachable balloon. Follow-up carotid angiographies showed complete closure of both CCFs and no abnormal venous drainage. After 1 year no abnormal physical manifestations, or abnormal neurologic signs or symptoms were present.

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