Balloon Test Occlusion in Temporal Bone Tumors

  • Orlando M. Diaz
  • Brandon D. Liebelt
  • Robert A. Scranton


The surgical treatment of hypervascular or invasive temporal bone tumors has a number of endovascular considerations. Surgical treatment may involve a planned preoperative tumor embolization or an inadvertent carotid injury. Some tumors may not be a good target for embolization, and preoperative carotid occlusion might be considered. It is advantageous to understand the patient’s ability to tolerate carotid sacrifice prior to surgery, and this can be assessed through a carotid balloon test occlusion. This chapter describes the indications and technique for performing a carotid balloon test occlusion, as well as the relevant vascular anatomy and collateral circulation necessary for a patient to tolerate occlusion.


Balloon test occlusion Carotid embolization Arterial sacrifice Radionuclide scan Transcranial Doppler 



anterior cerebral artery


balloon test occlusion


cerebral blood flow




internal cerebral artery


leptomeningeal anastomoses


middle cerebral artery


posterior cerebral artery


positron emission tomography


single-photon emission computed tomography


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Orlando M. Diaz
    • 1
  • Brandon D. Liebelt
    • 2
  • Robert A. Scranton
    • 1
  1. 1.Department of Radiology, Houston Neurovascular CenterHoustonUSA
  2. 2.Department of NeurosurgeryHoustonUSA

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