Intraoperative angiography and temporary balloon occlusion facilitating surgical obliteration of a traumatic carotid cavernous fistula: a case report.

A patient with a traumatic carotid cavernous fistula was successfully treated by a direct surgical approach after failed endovascular balloon occlusion. Surgical identification of the fistula and confirmation of its obliteration were achieved with intraoperative angiography. Dissection, control of bleeding, and carotid blood flow were facilitated by temporary balloon occlusion of the cavernous carotid artery. The combination of surgery, intraoperative angiography, and interventional radiologic techniques may improve the management of intracavernous vascular lesions.