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- W2040769963 abstract "<h3>BACKGROUND AND PURPOSE:</h3> Transarterial balloon embolization used to be the preferred method for treating DCCFs; however, a strayed, overinflated, or migrated balloon may lead to oculomotor palsy. This investigation compared the use of detachable balloons and GDCs, which were previously used only in cases of balloon-technique failure and are now increasingly used as a first-line treatment for DCCFs, in terms of the risk of oculomotor nerve deficit, mortality/morbidity, and initial angiographic results. <h3>MATERIALS AND METHODS:</h3> Among 48 patients with DCCFs treated with endovascular embolization at our institution between March 2004 and May 2009, 38 patients were included in this review. Patients who underwent trapping procedures, a second intervention within 2 weeks, or any procedure that included <i>n</i>-BCA infusion were excluded. Twenty of the enrolled patients were treated with transarterial balloons and the other 18, with GDCs. <h3>RESULTS:</h3> Five patients (25%) in the balloon group and none in the coil group had oculomotor nerve deficits within 2 weeks. The rate of procedure-related oculomotor nerve deficit was significantly higher in the balloon group than in the coil group (<i>P</i> = .048). There were no significant differences in terms of procedure-related mortality/morbidity or initial angiographic results between the 2 groups. <h3>CONCLUSIONS:</h3> The risk of procedure-related oculomotor nerve deficit in the treatment of DCCFs was significantly lower when using a GDC than with a detachable balloon. GDCs may, therefore, be considered as feasible, effective, and safe for DCCFs as detachable balloons." @default.
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- W2040769963 date "2010-02-11" @default.
- W2040769963 modified "2023-10-18" @default.
- W2040769963 title "Comparison of the Risk of Oculomotor Nerve Deficits between Detachable Balloons and Coils in the Treatment of Direct Carotid Cavernous Fistulas" @default.
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- W2040769963 doi "https://doi.org/10.3174/ajnr.a2009" @default.
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