Trans-superior ophthalmic vein approach for treatment of carotid-cavernous fistula
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2023-1-20 09:56
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Visish M. Srinivasan, MD,1 Anish N. Sen, MD,2 and Peter Kan, MD, MPH1
1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas; and 2Department of Neurosurgery, Loma Linda University, Loma Linda, California
The authors present a case of a patient with a Barrow Type B carotid-cavernous fistula (CCF) who presented with severe symptoms of eye redness, diplopia, and proptosis. Due to the tortuosity and size of her angular vein and the lack of good flow/access via the inferior petrosal sinus, she was treated with a transvenous approach via a large, dilated superior ophthalmic vein for coil embolization of the CCF.
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