Abstract：Objective To analyze effect of balloon embolization therapy for traumatic carotid cavernous fistula （TCCF）, so as to provide references for treatment of this disease. Methods A total of 21 patients with TCCF managed with balloon embolization from April 2006 to March 2012 were collected in the study. There were 17 males aged (32.3±5.4) years and 4 females aged (40.6±5.8) years. Perioperative clinical presentations and imageologic changes were observed as well as operative outcome was evaluated. Results After 3 months of follow-up, 20 patients experienced successful detachable balloon embolization, but the other one patient had to have stent angioplasty due to the failure of the procedure. All patients had some improvements on clinical presentations after operation (P<0.05). Imageologic examination revealed that all patients had complete occlusion of TCCF following operation. In follow-up, one patient had a relapse, with total curative ratio of 95%. Conclusions Detachable balloon embolization is effective in treatment of TCCF. Presently, the technique is an optimal method for such kind of disease and is worthy of wide clinical use.
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