A Lesson Learnt from a Dural Carotid Cavernous Fistula-induced Superior Ophthalmic Vein Occlusion with Posterior Ischaemic Optic Neuropathy

2021 ◽  
pp. 1-4
Author(s):  
Tung Thanh Hoang ◽  
Cuong Ngoc Nguyen ◽  
Thanh Thien Huy Ha ◽  
Prem S. Subramanian
Keyword(s):  
Optic Neuropathy ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Vein Occlusion ◽  
Ischaemic Optic Neuropathy

Electrothrombosis of carotid-cavernous fistula

1975 ◽  
Vol 42 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Yoshio Hosobuchi
Keyword(s):  
Posterior Segment ◽  
Cerebral Vein ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Arterial Circulation ◽  
Inferior Portion ◽  
Pterygoid Plexus ◽  
Fine Print

✓ The author describes a technique for directly closing a carotid cavernous fistula with electrothrombosis while preserving the intracranial arterial circulation. Copper wires are introduced through the superior ophthalmic vein or a frontotemporal craniotomy, and thus directly into the portion of the sinus into which the fistula drains; if posterior, into the posterior segment of Parkinson's triangle, if inferior, into the pterygoid plexus, and if anterior, through the sphenoparietal sinus and/or middle cerebral vein to the anterior-inferior portion of the sinus. A direct current is applied until a thrombus is confirmed angiographically and the wires are left in place. Four patients treated by this method are presented.

Development of Central Retinal Vein Occlusion in Dural Carotid-Cavernous Fistula (With 1 color plate)

1989 ◽  
Vol 199 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Yasuo Suzuki ◽  
Manabu Kase ◽  
Masahiko Yokoi ◽  
Takuji Arikado ◽  
Kazuo Miyasaka
Keyword(s):  
Retinal Vein Occlusion ◽  
Central Retinal Vein Occlusion ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Color Plate ◽  
Vein Occlusion ◽  
Central Retinal Vein

scholarly journals Embolization of dural carotid cavernous fistula via the superior ophthalmic vein approach: a case report

2015 ◽  
Vol 14 (3) ◽  
pp. 118-123
Author(s):  
Nigel CS Lim ◽  
Hazel Anne Lin ◽  
Kok Kee Tang ◽  
Cheng Kang Ong ◽  
Gangadhara Sundar
Keyword(s):  
Case Report ◽  
Operating Theatre ◽  
Viable Alternative ◽  
Type B ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Close Cooperation ◽  
Cosmetic Outcomes

In this case report, we present a patient with Type B dural carotid-cavernous fistula (CCF), who had failed cannulation via the transfemoral route and subsequently underwent CCF occlusion via the anterior orbital approach through the superior ophthalmic vein (SOV). Successful occlusion of CCF was achieved, with excellent visual and cosmetic outcomes postoperatively. When all venous routes have been exhausted, the SOV approach is an excellent and viable alternative in the treatment of dural CCFs. Close cooperation between the orbital and neuro-interventional teams in a hybrid operating theatre setting is essential in ensuring success of the operation.

scholarly journals Dural carotid cavernous fistula following hypertensive emergency

2019 ◽  
Vol 12 (9) ◽  
pp. e230823
Author(s):  
Geoffrey Law ◽  
Gavin Docherty
Keyword(s):  
Vision Loss ◽  
Venous Drainage ◽  
Hypertensive Emergency ◽  
Visual Recovery ◽  
Superior Ophthalmic Vein ◽  
Coil Embolisation ◽  
Carotid Cavernous Fistula ◽  
Cerebral Angiogram ◽  
Cavernous Fistula ◽  
Type D

A 58-year-old woman was referred to the outpatient ophthalmology clinic with progressive bilateral eye redness and vision loss. She had presented 2 weeks earlier with an episode of hypertensive emergency. CT angiography revealed bilateral superior ophthalmic vein (SOV) dilation, prompting further workup with a cerebral angiogram. Subsequent imaging revealed an indirect (type D) carotid-cavernous fistula (CCF) with venous drainage into both SOVs and cavernous sinuses. Successful treatment of the CCF with coil embolisation required interdisciplinary teamwork between ophthalmologists and interventional neuroradiologists. The patient made a substantial visual recovery following treatment.

Traumatic Ophthalmic Fistula Simulating Carotid-Cavernous Fistula

Neurosurgery ◽  
1983 ◽  
Vol 12 (1) ◽  
pp. 102-104 ◽  
Author(s):  
Miguel A. L. Freitas ◽  
Cyro A.B. Filho ◽  
Ranulfo Lima ◽  
Edson Marchiori
Keyword(s):  
Ophthalmic Artery ◽  
Carotid Angiography ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Spontaneous Thrombosis ◽  
Cavernous Fistula ◽  
Repeat Angiography ◽  
The Right

Abstract In a patient with a penetrating lesion of the right orbit with proptosis and a bruit in this region, carotid angiography revealed an ophthalmic fistula between the ophthalmic artery and the superior ophthalmic vein. Three days after admission, the symptoms disappeared, and repeat angiography showed the spontaneous thrombosis of the fistula.

Percutaneous transfemoral embolization of an indirect carotid—cavernous fistula with cortical venous access to the cavernous sinus

1999 ◽  
Vol 90 (5) ◽  
pp. 959-963 ◽  
Author(s):  
Richard J. Bellon ◽  
Amon Y. Liu ◽  
John R. Adler ◽  
Alexander M. Norbash
Keyword(s):  
Cavernous Sinus ◽  
English Literature ◽  
Venous Access ◽  
Retrograde Approach ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Cortical Vein ◽  
Transvenous Approach

✓ The authors present the case of a 61-year-old man with an indirect carotid—cavernous fistula (CCF). Many now advocate a primary transvenous approach to deal with such lesions, with packing and thrombosis of the cavernous sinus leading to fistula obliteration. Transvenous access to the cavernous sinus via the inferior petrosal sinus is the usual route of access; both surgical and transfemoral superior ophthalmic vein approaches are also well described. In the case presented, the anatomy of the CCF was unfavorable for these approaches and its dominant venous egress was via a single enlarged arterialized cortical vein. The cavernous sinus was accessed with a transfemoral retrograde approach to the cortical draining vein. Successful CCF embolization was documented radiographically and clinically. To the authors' knowledge, this procedure has not been previously described in the English literature.

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