Document Detail

New aesthetic approach to carotid cavernous sinus fistula for coil embolization.
MedLine Citation:
PMID:  22627444     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: Transvenous embolization has become the treatment of choice for carotid cavernous sinus fistula (CCSF). We report a case of coil embolization of CCSF using a superior ophthalmic vein (SOV) approach.
METHODS: We have used the SOV approach on 5 patients with dural arteriovenous fistulas involving the cavernous sinus. Diagnostic facial contrast-enhanced computed tomography, brain magnetic resonance imaging, and contrast angiography and cerebral angiography revealed a CCSF. Fistula occlusion using an external SOV approach of CCSF was performed.
RESULTS: Angiography performed on both sides demonstrated complete occlusion of the fistula. We had good result with coil embolization via SOV approach. We have a 100% success rate with no major complication.
CONCLUSIONS: The coil embolization via SOV approach is a safe and effective treatment. The SOV can be channeled by allowing the insertion of detachable coils in the fistula. We suggest that there is need to training plastic surgeon to be experienced.
Kyung Ah Lee; Jin Woo Kim; Hook Sun; Seok Joo Kang; Jae Hak Jung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  23     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e238-41     Citation Subset:  D    
From the *Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University; and †J Star Plastic & Aesthetic Clinic, Busan, South Korea.
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