Frampas E, Desal H A, Lenoir V, Auffray-Calvier E, De Kersaint-Gilly A
Service de Neuroradiologie Diagnostique et Interventionnelle, Hôpital Guillaume et René Laënnec, bd Jacques-Monod, Saint-Herblain, 44093 Nantes Cedex 01.
J Neuroradiol. 2000 Dec;27(4):238-46.
MATERIAL-METHODS: Thirty three patients (16 men, 17 women), mean age 45 years underwent an intravascular carotid balloon occlusion for intracavernous aneurysms, carotid-cavernous fistulas or cervical carotid injuries by Fogarty balloons (5 patients before 1982) or detachable balloons (28 patients). Transient balloon test occlusion consisted in a clinical examination, an angiographic study for 32 patients with an electroencephalogram for 16 patients.
Early complications occurred for four patients by veineous rupture (1 patient) or ischemic injury (3 patients). Late complications occurred for two patients by ischemic injuries, one asymptomatic.
These results are similar to the literature's results and the transient test occlusion consisting in clinical examination, angiographic study and EEG seems to be reliable compared to cerebral blood flow determination.
Even if its indications have decreased because of technic improvements permitting carotid flow preservation, carotid endovascular balloon occlusion stays a reliable, cheap technic in carotid injuries' treatment.
33例患者（16例男性，17例女性），平均年龄45岁，因海绵窦内动脉瘤、颈内动脉海绵窦瘘或颈部颈动脉损伤接受血管内颈动脉球囊闭塞术，其中5例患者在1982年以前使用Fogarty球囊，28例患者使用可脱性球囊。短暂球囊试验闭塞包括临床检查，对32例患者进行血管造影研究，对16例患者进行脑电图检查。
4例患者出现早期并发症，包括静脉破裂（1例）或缺血性损伤（3例）。2例患者出现晚期并发症，均为缺血性损伤，其中1例无症状。
这些结果与文献报道的结果相似，与脑血流量测定相比，由临床检查、血管造影研究和脑电图组成的短暂试验闭塞似乎是可靠的。
尽管由于技术改进能够保留颈动脉血流，其适应证有所减少，但颈动脉血管内球囊闭塞术在颈动脉损伤的治疗中仍然是一种可靠、廉价的技术。
