Embolization of arteriovenous fistulas and aneurysms with detachable balloons.

The authors describe their technique of embolization, using detachable balloons to produce endovascular occlusion in three patients with multiple pulmonary arteriovenous fistulas and in one patient with a large peripheral aneurysm. The results were satisfactory. The clinical presentation and treatment course in each of the four patients are described and the role of this form of therapy is discussed. This method of endovascular occlusion is particularly appropriate for treating pulmonary arteriovenous fistulas and aneurysms because placement of the balloon is precise, permanent and localized and the flow of the balloon in the fistula or aneurysm can be directed.