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PT  - JOURNAL ARTICLE
AU  - Monsein, L H
AU  - Debrun, G M
AU  - Miller, N R
AU  - Nauta, H J
AU  - Chazaly, J R
TI  - Treatment of dural carotid-cavernous fistulas via the superior ophthalmic vein.
DP  - 1991 May 01
TA  - American Journal of Neuroradiology
PG  - 435--439
VI  - 12
IP  - 3
4099  - http://www.ajnr.org/content/12/3/435.short
4100  - http://www.ajnr.org/content/12/3/435.full
SO  - Am. J. Neuroradiol.1991 May 01; 12
AB  - Symptomatic patients with dural carotid-cavernous fistulas often require treatment. Traditional therapies, which often are not completely successful, include manual common carotid artery compression and embolization via transarterial routes. This report describes four symptomatic patients with spontaneous dural carotid-cavernous fistulas who were treated unsuccessfully with transarterial embolotherapy and subsequently treated successfully by having a detachable balloon introduced into the cavernous sinus via the superior ophthalmic vein, which was surgically exposed. The fistulas resolved without complications. Treatment of dural carotid-cavernous fistulas by means of the transvenous approach via the superior ophthalmic vein may be of benefit in selected patients.