Indirect Carotid-Cavernous Sinus Fistulas Treated by Transvenous Approach Through the Superior Ophthalmic Vein: A Case Report and Technical Note

Thaweesak  Aurboonyawat; Theerapol  Witthiwej; Anchalee  Churojana

Siriraj Medical Journal (Jul 2007)

Indirect Carotid-Cavernous Sinus Fistulas Treated by Transvenous Approach Through the Superior Ophthalmic Vein: A Case Report and Technical Note

Thaweesak Aurboonyawat,
Theerapol Witthiwej,
Anchalee Churojana

Affiliations

Thaweesak Aurboonyawat: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
Theerapol Witthiwej: Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
Anchalee Churojana: Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Journal volume & issue: Vol. 59, no. 4

Abstract

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Objective: To present the results of our alternative treatment of indirect carotid- cavernous sinus fistulas. Methods: A 50-year-old-woman, whom the standard underwent surgical exposure of the superior ophthalmic vein (SOV), retrograde venous catheterization, and coil embolization of the cavernous sinus. Results: Complete fistulas obliteration was accompanied by recovery of the clinical symptoms. Conclusion: The surgical SOV approach might be sufficient when standard endovascular intervention does not succeed. The technique is safe and effective when performed by an interdisciplinary team.

Published in Siriraj Medical Journal

ISSN: 2228-8082 (Online)
Publisher: Faculty of Medicine Siriraj Hospital
Country of publisher: Thailand
LCC subjects: Medicine
Website: https://he02.tci-thaijo.org/index.php/sirirajmedj/about

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