Blind endovascular catheterization and direct access of an occluded superior ophthalmic vein for treatment of carotid cavernous fistula
| Autor: | Gerald Oh, Ali Alaraj, Bobby Kim, Victor A. Aletich |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Chemosis
medicine.medical_specialty Fistula Eye Article Catheterization Veins Carotid-Cavernous Sinus Fistula Medicine Humans Vein Carotid-cavernous fistula Aged business.industry Angiography Inferior petrosal sinus General Medicine medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Treatment Outcome cardiovascular system Neurology (clinical) Radiology medicine.symptom business Superior ophthalmic vein Carotid Artery Internal Vascular Access Devices Orbit (anatomy) |
| Popis: | We describe a case of an elderly patient who presented with right-sided ophthalmoplegia, proptosis, chemosis, and increased intraocular pressure. An angiogram showed feeding vessels from the bilateral internal and external carotid arteries. Our initial attempt to blindly probe the inferior petrosal sinus was unsuccessful. This was followed by a right anterior orbitotomy exposing the superior ophthalmic vein which was directly cannulated with an 18 gauge angiocatheter. However, a proximal third of the superior ophthalmic vein within the orbit which was thrombosed was probed blindly. The thrombosed vein was cannulated with a microcatheter to obtain coil embolization of the carotid cavernous fistula. The implications of the procedure are discussed, given that, to our knowledge, such an endeavor has never been performed. |
| Databáze: | OpenAIRE |
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