Coil Embolization Via a Superior Ophthalmic Vein Approach of Carotid Cavernous Sinus Fistula
Journal of the Korean Ophthalmological Society
;
: 1141-1148, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-161308
ABSTRACT
PURPOSE:
The result of embolization via an external superior ophthalmic vein approach of carotid cavernous sinus fistula was first described around 1970s. We report a case of coil embolization of carotid cavernous sinus fistula using a superior ophthalmic vein approach.METHODS:
A 70-year-old female had a 3-month history of headache, periocular pain, and diplopia. Diagnostic orbital contrast-enhanced CT, brain MRI and contrast-angiography and cerebral angiography revealed a carotid cavernous sinus fistula. Fistula occlusion via transfemoral endovascular embolization failed, so we then tried coil embolization using an external superior ophthalmic vein approach of carotid cavernous sinus fistula.RESULTS:
The coil embolization via an external superior ophthalmic vein approach was difficult because of venous tortuosity and poor exposure of part of orbital roof area. But, X-ray-guided direct puncture of the superior ophthalmic vein was successful. We thus had good results with coil embolization of carotid cavernous fistula.CONCLUSIONS:
The coil embolization via superior ophthalmic vein approach is an effective and challengeable treatment when surgical cauterization or conventional endovascular embolization fails. We suggest that there is need to training ophthalmologists to be experienced in external orbital surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Órbita
/
Veias
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Angiografia Cerebral
/
Punções
/
Tomografia Computadorizada por Raios X
/
Cauterização
/
Fístula Carótido-Cavernosa
/
Diplopia
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2006
Tipo de documento:
Artigo
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