Transorbital puncture for the treatment of cavernous sinus dural arteriovenous fistulas.

Autor:	Hughes L; Orbital, Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.; Centre for Eye Research Australia, University of Melbourne, East Melbourne, Victoria, Australia., Satchi K; Orbital, Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia., Mitchell P; Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia., McNab AA; Orbital, Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.; Centre for Eye Research Australia, University of Melbourne, East Melbourne, Victoria, Australia., Hardy TG; Orbital, Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.; Centre for Eye Research Australia, University of Melbourne, East Melbourne, Victoria, Australia.; Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Victoria, Australia.; Department of Surgery, University of Melbourne, Parkville, Victoria, Australia.
Jazyk:	angličtina
Zdroj:	European journal of ophthalmology [Eur J Ophthalmol] 2024 Nov; Vol. 34 (6), pp. NP10-NP14. Date of Electronic Publication: 2024 Aug 06.
DOI:	10.1177/11206721241272242
Abstrakt:	Background: Endovascular embolization of carotid-cavernous sinus dural arteriovenous fistulas (CCFs) is most commonly performed via a transfemoral-transvenous approach. Surgical cut-down of the superior ophthalmic vein is an alternative, well-described route. When these prove inaccessible, a transorbital approach can be used to reach the fistula. Methods: We describe the recent experience- including indications, surgical technique, radiological findings and post-operative outcomes- in Melbourne of a series of patients in whom a percutaneous, transorbital direct puncture of the cavernous sinus enabled successful embolization of dural arteriovenous fistulas. Results: Each of three patients achieved successful embolization of their CCFs via a transorbital puncture. Post-operatively, all patients experienced symptomatic relief with complete resolution of clinical signs secondary to their CCFs. Conclusion: When angioarchitecture does not allow endovascular access, transorbital puncture of carotid-cavernous sinus dural arteriovenous fistulas can be a safe and effective technique. This report supports its success and low complication rate. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.This article contains no identifiable patient data. Informed consent has previously been obtained for academic use of images.
Databáze:	MEDLINE
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