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RT Journal Article
SR Electronic
T1 Carotid Cavernous Fistula: Embolization via a Bilateral Superior Ophthalmic Vein Approach
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1736
OP 1738
VO 23
IS 10
A1 Berlis, Ansgar
A1 Klisch, Joachim
A1 Spetzger, Uwe
A1 Faist, Michael
A1 Schumacher, Martin
YR 2002
UL http://www.ajnr.org/content/23/10/1736.abstract
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.