Management of acute orbital hemorrhage with obstruction of the ophthalmic artery during attempted coil embolization of a dural arteriovenous fistula of the cavernous sinus.

Autor: Wladis EJ; Division of Ophthalmology, Department of Surgery, University of Vermont, Burlington, Vermont 05401, USA. tedwladis@hotmail.com, Peebles TR, Weinberg DA
Jazyk: angličtina
Zdroj: Ophthalmic plastic and reconstructive surgery [Ophthalmic Plast Reconstr Surg] 2007 Jan-Feb; Vol. 23 (1), pp. 57-9.
DOI: 10.1097/IOP.0b013e31802c7e5a
Abstrakt: Because of inability to access a cavernous-carotid fistula through conventional means, a superior ophthalmic vein approach was used to allow access for embolization. Although there was initially robust flow through both the fistula and the ophthalmic artery on angiography, the flow stopped during the procedure, and the patient was found to have an orbital hemorrhage. Immediately on emergent canthotomy and evacuation of the hemorrhage, angiographic evidence of restoration of flow was noted. This finding suggests that vision loss in orbital compartment syndrome may be due to arterial occlusion in some cases, and may be reversible if prompt action is taken.
Databáze: MEDLINE