Transvenous embolization of bilateral indirect carotid-cavernous fistulas via a unilateral transorbital approach.
Orbit
; 40(4): 320-325, 2021 Aug.
Article
in En
| MEDLINE
| ID: mdl-32552143
ABSTRACT
A 73-year-old man with a complex ophthalmologic history presented with several weeks of worsening diplopia, visual acuity, and proptosis bilaterally. Cerebral angiography demonstrated bilateral indirect Barrow type B carotid-cavernous fistulas (CCFs). Transarterial embolization was not attempted due to small arterial diameter and risk of stroke. Multiple attempts were made to access the fistula via a transfemoral venous approach and were unsuccessful. A transorbital puncture was performed, which allowed access to both cavernous sinuses via a unilateral approach. After embolization with Onyx, there was no residual fistula. The patient had a left-sided retrobulbar hematoma from the access. Right eye vision improved postoperatively.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cavernous Sinus
/
Carotid-Cavernous Sinus Fistula
/
Embolization, Therapeutic
/
Fistula
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Orbit
Year:
2021
Document type:
Article
Affiliation country:
United States