Document Detail

Treatment of carotid-cavernous fistula by trans-venous anterior (trans-orbital) approach. Case report and review of previous report.
MedLine Citation:
PMID:  8301369     Owner:  NLM     Status:  MEDLINE    
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.
V Iaccarino; R Spaziante; G Bonavolontà; S Cirillo; E De Divitiis
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  37     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1994-03-08     Completed Date:  1994-03-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  103-12     Citation Subset:  IM    
Institute of Radiology (1st Chair), 2nd School of Medicine, University of Naples, Italy.
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MeSH Terms
Arteriovenous Fistula / radiography,  surgery*
Carotid Artery Diseases / radiography,  surgery*
Carotid Artery, Common* / radiography
Carotid Artery, External* / radiography
Conjunctival Diseases / etiology
Embolization, Therapeutic
Follow-Up Studies
Tomography, X-Ray Computed

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