Cargando…
Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula
The treatment of symptomatic cavernous sinus dural arteriovenous fistula, an unusually occluded cavernous sinus, is by a transvenous approach through the inferior petrosal sinus and superior ophthalmic vein. If these two modes of conventional transvenous access are not possible, surgical exposure an...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217242/ https://www.ncbi.nlm.nih.gov/pubmed/32411565 http://dx.doi.org/10.7759/cureus.8053 |
_version_ | 1783532578540617728 |
---|---|
author | Hong Duc, Pham Thai Hoa, Nguyen Thi Quang Huy, Huynh Nguyen, Anh Quoc |
author_facet | Hong Duc, Pham Thai Hoa, Nguyen Thi Quang Huy, Huynh Nguyen, Anh Quoc |
author_sort | Hong Duc, Pham |
collection | PubMed |
description | The treatment of symptomatic cavernous sinus dural arteriovenous fistula, an unusually occluded cavernous sinus, is by a transvenous approach through the inferior petrosal sinus and superior ophthalmic vein. If these two modes of conventional transvenous access are not possible, surgical exposure and/or direct puncture access to the superior ophthalmic vein or cavernous sinus have been previously described. In a patient with progressive ophthalmological problems, the goal of treatment is to not only cure the ophthalmic symptoms but also to conserve or improve visual acuity, so treatment is needed as soon as possible. We report a 68-year-old woman suffering a Barrow type D cavernous sinus dural arteriovenous fistula. In this case, inadequate, inferior petrosal sinus embolization and lack of access for superior ophthalmic vein via a facial vein preceded percutaneous puncture under sonographic guidance of the superior ophthalmic vein. This permitted venous occlusion without complications and symptom-free for 11 months. |
format | Online Article Text |
id | pubmed-7217242 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-72172422020-05-14 Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula Hong Duc, Pham Thai Hoa, Nguyen Thi Quang Huy, Huynh Nguyen, Anh Quoc Cureus Radiology The treatment of symptomatic cavernous sinus dural arteriovenous fistula, an unusually occluded cavernous sinus, is by a transvenous approach through the inferior petrosal sinus and superior ophthalmic vein. If these two modes of conventional transvenous access are not possible, surgical exposure and/or direct puncture access to the superior ophthalmic vein or cavernous sinus have been previously described. In a patient with progressive ophthalmological problems, the goal of treatment is to not only cure the ophthalmic symptoms but also to conserve or improve visual acuity, so treatment is needed as soon as possible. We report a 68-year-old woman suffering a Barrow type D cavernous sinus dural arteriovenous fistula. In this case, inadequate, inferior petrosal sinus embolization and lack of access for superior ophthalmic vein via a facial vein preceded percutaneous puncture under sonographic guidance of the superior ophthalmic vein. This permitted venous occlusion without complications and symptom-free for 11 months. Cureus 2020-05-11 /pmc/articles/PMC7217242/ /pubmed/32411565 http://dx.doi.org/10.7759/cureus.8053 Text en Copyright © 2020, Hong Duc et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Radiology Hong Duc, Pham Thai Hoa, Nguyen Thi Quang Huy, Huynh Nguyen, Anh Quoc Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title | Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title_full | Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title_fullStr | Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title_full_unstemmed | Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title_short | Percutaneous Ultrasound-Guided Access to the Superior Ophthalmic Vein for Embolization of a Cavernous Sinus Dural Arteriovenous Fistula |
title_sort | percutaneous ultrasound-guided access to the superior ophthalmic vein for embolization of a cavernous sinus dural arteriovenous fistula |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217242/ https://www.ncbi.nlm.nih.gov/pubmed/32411565 http://dx.doi.org/10.7759/cureus.8053 |
work_keys_str_mv | AT hongducpham percutaneousultrasoundguidedaccesstothesuperiorophthalmicveinforembolizationofacavernoussinusduralarteriovenousfistula AT thaihoanguyenthi percutaneousultrasoundguidedaccesstothesuperiorophthalmicveinforembolizationofacavernoussinusduralarteriovenousfistula AT quanghuyhuynh percutaneousultrasoundguidedaccesstothesuperiorophthalmicveinforembolizationofacavernoussinusduralarteriovenousfistula AT nguyenanhquoc percutaneousultrasoundguidedaccesstothesuperiorophthalmicveinforembolizationofacavernoussinusduralarteriovenousfistula |