Balloon Test Occlusion and Postocclusion Patient Care

  • Pearse Morris


Therapeutic occlusion of an internal carotid artery or vertebral artery is an accepted alternative treatment for inoperable aneurysms, fistulas, pseudoaneurysms, dissections, or as part of the treatment of neck and skull-base tumors when less radical alternatives cannot be applied. Arterial occlusion can be performed as part of a surgical procedure or can be accomplished endovascularly using coils or balloons. Preoperative test occlusion of the carotid artery is necessary in all but the most urgent cases in order to avoid complications of hemodynamic ischemia following permanent occlusion. Approximately 80% to 90% of the general population can tolerate sudden occlusion of an internal carotid artery without hemodynamic complications provided that no other adverse factors affecting the patient’s hemodynamic status prevail.1,2 With careful postocclusion management of patients’ hemodynamic status, mean arterial pressure, and state of hydration, the percentage of the population that can undergo permanent safe occlusion of an internal carotid artery can be raised even higher.


Internal Carotid Artery Vertebral Artery Carotid Artery Occlusion Test Occlusion Permanent Occlusion 
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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Pearse Morris
    • 1
  1. 1.School of MedicineWake Forest UniversityWinston-SalemUSA

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