Carotid cavernous fistula: embolization via a bilateral superior ophthalmic vein approach.
نویسندگان
چکیده
We report the case of a 74-year-old woman with a complex indirect (Barrow D) carotid cavernous sinus fistula. The patient was treated incrementally and finally cured by a rarely reported bilateral retrograde direct transvenous approach via the superior ophthalmic vein. The treatment of the complex carotid cavernous fistula with multiple bilateral fistula points showed additional complexity due to a partially thrombosed left superior ophthalmic vein, which required a combined microsurgical and endovascular treatment, showing that treatment can be achieved, if necessary, by catheterization of a thrombosed orbital vein.
منابع مشابه
Treatment of dural carotid-cavernous fistulas via the superior ophthalmic vein.
Symptomatic patients with dural carotid-cavernous fistulas often require treatment. Traditional therapies, which often are not completely successful, include manual common carotid artery compression and embolization via transarterial routes. This report describes four symptomatic patients with spontaneous dural carotid-cavernous fistulas who were treated unsuccessfully with transarterial embolo...
متن کامل[Orbital approach for treatment of carotid-cavernous sinus fistula].
CASE REPORT A male patient with a left carotid-cavernous sinus fistula (CCSF) and two previous attempts of embolization via the femoral vein was treated with embolization through the superior ophthalmic vein (SOV). DISCUSSION The main modality of treatment for CCSF is intervention radiology. This aims to occlude the fistula via an arterial route, through the cavernous sinus, or via a venous r...
متن کاملEmbolization of dural cavernous fistulas via superior ophthalmic vein approach.
PURPOSE To present the results of our treatment of dural cavernous sinus fistulas with surgical exposure of the superior ophthalmic vein (SOV), retrograde venous catheterization, and coil embolization of the cavernous sinus. METHODS Twelve patients with dural cavernous sinus fistulas were treated via a retrograde transvenous SOV approach in our hospital during a 3-year period. All patients ha...
متن کاملTransvenous embolization of dural carotid cavernous fistula through the facial and ophthalmic vein Duralna fistula kavernoznog sinusa: embolizacija transvenskim pristupom kroz facijalnu i gornju oftalmičku venu
Introduction. Dural carotid cavernous fistula is acquired, relatively rare, condition comprising of numerous smallcaliber meningeal arterial branches, draining directly into cavernous sinus. Endovascular therapy is the treatment of choice, preferably by a transvenous approach. In the case of inaccessible inferior petrosal sinus, other alternative routes are considered. We presented a case of du...
متن کاملSuperior ophthalmic vein cannulation through a lateral orbitotomy for embolization of a cavernous dural fistula.
Many embolization procedures have been described for the treatment of cavernous dural fistulas, including direct superior ophthalmic vein cannulation. Sometimes thrombosis of the superior ophthalmic vein or an anatomic variant will not allow its cannulation. Herein, we describe a case of a cavernous dural fistula in which an anteriorly narrowed and thrombosed superior ophthalmic vein was cannul...
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عنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 23 10 شماره
صفحات -
تاریخ انتشار 2002