ABSTRACT
The problem with Fogarty catheters involves documented reports of the creation of a carotid cavernous fistula by inflating the balloon in the cavernous carotid artery. Very gentle handling of the carotid artery is quite important to avoid embolic migration during surgery. However, recent developments of surgical technique and distal filter system are decreasing the incidence of post-CEA/CAS DWI-positive lesions. The right femoral artery was temporarily occluded with a balloon catheter and thrombin was percutaneously injected into the pseudo-aneurysm. It may be necessary to explore a complete carotid occlusion by virtue of a post-operative thrombosis or encountering a patient who has acute thrombosis of the carotid artery for other reasons and who happens to be in a position to undergo immediate surgery.
