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Year : 2000  |  Volume : 48  |  Issue : 2  |  Page : 140--3

Temporary balloon occlusion of internal carotid artery : a simple and reliable clinical test.

KV Sudhakar, V Sawlani, RV Phadke, S Kumar, S Ahmed, RB Gujral 
 Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India., India

Correspondence Address:
K V Sudhakar
Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226014, India.
India

Abstract

Balloon test occlusion of internal carotid artery has been frequently used in preoperative evaluation of patients with carotid aneurysms, fistulas and skull based neoplasms in whom arterial sacrifice is planned or considered as a possible part of therapy. We present our experience of the test in 28 patients. The test was positive in four and negative in twenty four patients. The results are compared with cross-compression angiography and the outcome following internal carotid artery sacrifice. There were no complications related to the test and the results accurately predicted the tolerance to occlusion of artery. We found the test safe, simple to perform and reliable to preoperatively detect patients at risk of ischaemic stroke following surgical ligation or endovascular occlusion of internal carotid artery.



How to cite this article:
Sudhakar K V, Sawlani V, Phadke R V, Kumar S, Ahmed S, Gujral R B. Temporary balloon occlusion of internal carotid artery : a simple and reliable clinical test. Neurol India 2000;48:140-3


How to cite this URL:
Sudhakar K V, Sawlani V, Phadke R V, Kumar S, Ahmed S, Gujral R B. Temporary balloon occlusion of internal carotid artery : a simple and reliable clinical test. Neurol India [serial online] 2000 [cited 2022 May 20 ];48:140-3
Available from: https://www.neurologyindia.com/text.asp?2000/48/2/140/1559


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References

1Mathis JM, Barr JD, Jungries CA et al: Temporary balloon test occlusion of the internal carotid artery: Experience in 500 cases. Am J Neuroradio 1995; 16: 749-754.
2Matas R: Testing the efficiency of collateral circulation as a preliminary to the occlusion of the great surgical arteries. J Am Med Assoc 1914; 63: 1441-1447.
3Toole JF, Bevilacqua JE: The carotid compression test; evaluation of diagnostic reliability and prognostic significance. Neurology 1963; 13: 601-606.
4Linskey ME, Jungries CA, Yonas H et al: Stroke risk after abrupt internal carotid artery sacrifice: Accuracy of preoperative assessment with balloon test occlusion and stable xenon- enhanced CT. Am J Neuroradiology 1994; 15: 829-843.
5Anon VV, Aymard A, Gobin YP et al: Balloon occlusion of the internal carotid artery in 40 cases of giant intracavernous aneurysm: technical aspects, cerebral monitoring and results. Neuroradiology 1992; 34: 245-251.
6Fox AJ, Vinuela F, Pelz DM et al: Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 1987; 66: 40-46.
7Niimi Y, Berenstein A, Setton A et al: Occlusion of the internal carotid artery based on a simple tolerance test. Interventional Neuroradiolog 1996; 2: 289-296.
8Simonson TM, Ryals TJ, Yuh WTC et al: MR imaging and HMPAO scintigraphy in conjunction simonson with balloon test occlusion: value in predicting sequelae after permanent carotid occlusion. Am J Roentgenolog 1992; 159: 1063-1068.
9Gonzalez CF, Moret J: Balloon occlusion of carotid artery prior to surgery for neck tumours. Am J Neuroradiology 1990; 11: 649-652.
10Higashida RT, Halbach VV, Dowd C et al: Endovascular detachable balloon embolization therapy of cavernous carotid aneurysms: results in 87 cases. J Neurosurg 1990; 72: 857-863.
11Mathis JM, Barr JD, Jungries CA et al: Physical characteristics of balloon catheter systems used in temporary cerebral artery occlusion. Am J Neouroradiology 1994; 15: 1831-1816.
12Razack MS, Sako K: Carotid artery haemorrhage and ligation in head and neck cancer. J Surg oncolog 1982; 19: 189-192.
13Barker DW, Jungries CA, Horton JA et al: Balloon test occlusion of the internal carotid artery: Change in stump pressure over 15 minutes and its correlation with xenon CT cerebral blood flow. Am J Neuroradiology 1993; 14: 749-753.
14Steed DL, Webster MW, deVreis EJ et al: Clinical observations on the effect of carotid artery occlusion on cerebral blood flow mapped by xenon computed tomography and its correlation with carotid artery back pressure. J Vasc Surgery 1990; 11: 38-44.