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PT  - JOURNAL ARTICLE
AU  - Berlis, Ansgar
AU  - Klisch, Joachim
AU  - Spetzger, Uwe
AU  - Faist, Michael
AU  - Schumacher, Martin
TI  - Carotid Cavernous Fistula: Embolization via a Bilateral Superior Ophthalmic Vein Approach
DP  - 2002 Nov 01
TA  - American Journal of Neuroradiology
PG  - 1736--1738
VI  - 23
IP  - 10
4099  - http://www.ajnr.org/content/23/10/1736.short
4100  - http://www.ajnr.org/content/23/10/1736.full
SO  - Am. J. Neuroradiol.2002 Nov 01; 23
AB  - Summary: We report the case of a 74-year-old woman with a complex indirect (Barrow D) carotid cavernous sinus fistula. The patient was treated incrementally and finally cured by a rarely reported bilateral retrograde direct transvenous approach via the superior ophthalmic vein. The treatment of the complex carotid cavernous fistula with multiple bilateral fistula points showed additional complexity due to a partially thrombosed left superior ophthalmic vein, which required a combined microsurgical and endovascular treatment, showing that treatment can be achieved, if necessary, by catheterization of a thrombosed orbital vein.