Indirect Carotid-Cavernous Sinus Fistulas Treated by Transvenous Approach Through the Superior Ophthalmic Vein: A Case Report and Technical Note
Keywords:
Embolization, indirect carotid-cavernous sinus fistulas, superior ophthalmic veinAbstract
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.
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