HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Correspondence: Submit a response Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kupersmith, M. J. Articles by Flamm, E. S. Search for Related Content PubMed PubMed Citation Articles by Kupersmith, M. J. Articles by Flamm, E. S.

Percutaneous transvascular treatment of giant carotid aneurysms

Neuro-ophthalmologic findings

From the Departments of Neurology and Ophthalmology (Dr. Kupersmith) and Neurosurgery (Drs. Ransohoff and Flamm), New York University Medical Center, and the Departments of Neuroradiology, New York University and Bellevue Hospital (Dr. Berenstein) and Mount Sinai Medical Center (Dr. Choi), New York, NY.

Twelve of 17 patients with cavernous carotid aneurysms had balloon embolization directed through a percutaneous double lumen catheter for progressive pain, ophthalmoplegia, or visual loss. Functional angiography was carried out with systemic heparinization and double-lumen balloon catheters to test tolerance to carotid occlusion. Eleven were successfully treated, though two patients with initial preservation of the ipsilateral carotid artery had unplanned deflation of the balloon, necessitating re-embolization. No serious permanent neurologic complications occurred. All patients had complete resolution of pain, and nine had improvement in the extraocular eye muscle and lid function. Balloon trapping of the cavernous carotid artery, rather than placing the balloon directly into the aneurysm, resulted in involution of the aneurysm and decompression of the involved cranial nerves.

Address correspondence and reprint requests to Dr. Kupenmith, Department of Neurology and Ophthalmology, New York University Medical Center, New York University School of Medicine, 550 First Avenue, New York, NY 10016.

Presented in part at the thirty-fourth annual meeting of the American Academy of Neurology, Washington, DC, April 1982.

Accepted for publication June 21, 1983.

This article has been cited by other articles:

				N Goldenberg-Cohen, C Curry, N R Miller, R J Tamargo, and K P J Murphy Long term visual and neurological prognosis in patients with treated and untreated cavernous sinus aneurysms J. Neurol. Neurosurg. Psychiatry, June 1, 2004; 75(6): 863 - 867. [Abstract] [Full Text] [PDF]

				I. C. van der Schaaf, E. H. Brilstra, E. Buskens, and G. J.E. Rinkel Endovascular Treatment of Aneurysms in the Cavernous Sinus: A Systematic Review on Balloon Occlusion of the Parent Vessel and Embolization With Coils Stroke, January 1, 2002; 33(1): 313 - 318. [Abstract] [Full Text] [PDF]

				H. Van Damme, M. Lecomte, G. DeKoster, and R. Limet Pseudoaneurysm of the High Extracranial Internal Carotid Artery: A Case Report and Literature Review Vascular and Endovascular Surgery, September 1, 1988; 22(5): 354 - 360. [Abstract] [PDF]