| Treatment of carotid-cavernous fistula by trans-venous anterior (trans-orbital) approach. Case report and review of previous report. | |
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MedLine Citation:
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PMID: 8301369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case is reported of successful occlusion of a dural carotid-cavernous fistula (type D) by means of a transvenous anterior approach. Through the left angular vein, the distal superior ophthalmic vein (SOV) and the cavernous sinus were cannulated and three Gianturco coils were delivered close to the fistulous communications. Obliteration of the carotid-cavernous communication was achieved sparing the internal carotid artery and its branches. The major advantage of entering the sinus from the venous route is to preclude any damage to the artery, distal migration of the detachable balloon or of thrombi, intracavernous pseudoaneurysm formation. The trans-orbital approach may be considered chiefly when the openings are in the antero inferior compartment and the SOV is enlarged. Its applications, quite sporadic until now, probably will become more popular, mainly in treating D type fistulas, thanks to the good results achieved and to its safety. |
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Authors:
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V Iaccarino; R Spaziante; G Bonavolontà; S Cirillo; E De Divitiis |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of neurosurgical sciences Volume: 37 ISSN: 0390-5616 ISO Abbreviation: J Neurosurg Sci Publication Date: 1993 Jun |
Date Detail:
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Created Date: 1994-03-08 Completed Date: 1994-03-08 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0432557 Medline TA: J Neurosurg Sci Country: ITALY |
Other Details:
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Languages: eng Pagination: 103-12 Citation Subset: IM |
Affiliation:
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Institute of Radiology (1st Chair), 2nd School of Medicine, University of Naples, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arteriovenous Fistula / radiography, surgery* Carotid Artery Diseases / radiography, surgery* Carotid Artery, Common* / radiography Carotid Artery, External* / radiography Conjunctival Diseases / etiology Embolization, Therapeutic Female Follow-Up Studies Humans Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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