[The treatment of carotico-cavernous fistulas, past and present (author's transl)].

Even at the present time, the surgical treatment of carotico-cavernous fistulas still presents problems. The author gives a brief review of the diagnosis, incidence and pathology and a detailed survey of the earlier methods of treatment, as well as those used at present, particular attention being drawn to the intravascular invasive procedures. It appears appropriate to rationalize the methods used today, namely ligation, embolization and coagulation. The author describes the use of his own successful method, in which injection of a tissue adhesive with an acrylate base (FIMOMED) through a double lumen microcatheter remains the method of choice.