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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...

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Autores principales: Hong Duc, Pham, Thai Hoa, Nguyen Thi, Quang Huy, Huynh, Nguyen, Anh Quoc
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
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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.
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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
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