Document Detail

Endovascular approach to treatment of indirect carotico-cavernous fistulae.
MedLine Citation:
PMID:  11478057     Owner:  NLM     Status:  MEDLINE    
The purpose of the study was to assess the cure rate in patients with indirect carotico-cavernous fistula (CCF) treated by transvenous embolisation via the inferior petrosal sinus (IPS) pathway or the superior ophthalmic vein (SOV). Twelve fistulae in 11 patients were treated by transvenous embolisation, eight patients via the IPS and four fistulae in three patients via the SOV. Angiographic cure was defined as complete obliteration of the fistula and clinical cure as total resolution of signs and symptoms. Complete cure was achieved in eight patients with nine fistulae embolised transvenously. Five fistulae were approached via the IPS and four via the SOV. Our preferred method for treatment of indirect CCF is the transvenous route. The IPS approach is technically easier and has fewer potential risks than the SOV approach. However, if the IPS is not patent the SOV can provide good alternative access to the cavernous sinus.
D J Annesley-Williams; A J Goddard; R P Brennan; A Gholkar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  15     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-07-31     Completed Date:  2001-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  England    
Other Details:
Languages:  eng     Pagination:  228-33     Citation Subset:  IM    
Department of Neuroradiology, Newcastle General Hospital, Newcastle-upon-Tyne, UK.
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MeSH Terms
Aged, 80 and over
Carotid Artery, Common / radiography
Carotid Sinus / radiography
Carotid-Cavernous Sinus Fistula / radiography,  therapy*
Embolization, Therapeutic / adverse effects,  methods*
Middle Aged
Vision Disorders / etiology

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