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[Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients].
Klin Monbl Augenheilkd. 2000 Oct; 217(4):240-5.KM

Abstract

BACKGROUND

Arteriovenous communications in which blood flows from meningeal branches of the internal and external carotid arteries into the venous circulation around and in the cavernous sinus are termed spontaneous (dural) carotid sinus cavernous fistulas. Due to their mostly low shunt volume they are rarely life threatening, but without treatment they may cause severe ocular complications like episcleral secondary glaucoma, central vein occlusion or exudative retinal detachment. Traditional therapy is the transarterial approach by an interventional neuroradiologist. If such an approach is not possible or unsuccessful a transvenous route has to be considered.

PATIENTS AND METHODS

Two patients underwent anterior orbitotomy via sub brow incision or infraciliary incision with cannulation of the superior ophthalmic vein or the inferior ophthalmic vein and embolization of the cavernous sinus with platinum coils.

RESULTS

Successful closure was achieved on angiography and normalisation of clinical symptoms after a short period of progressive venous congestion.

CONCLUSIONS

For arteriovenous fistulas that cannot be embolized arterially the surgical transvenous orbital route may work as a method of second choice. When performed by an interdisciplinary team (orbital surgeon, interventionell neuroradiologist) it is a technically straightforward, effective and promising approach.

Authors+Show Affiliations

Augenklinik mit Poliklinik, Universitäts-Augenklinik, Homburg, Saar.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

11098460

Citation

Schmidbauer, J M., et al. "[Surgical Transvenous Embolization of Spontaneous Carotid Cavernous Sinus Fistulas in Two Patients]." Klinische Monatsblatter Fur Augenheilkunde, vol. 217, no. 4, 2000, pp. 240-5.
Schmidbauer JM, Voges M, Hagen T, et al. [Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients]. Klin Monbl Augenheilkd. 2000;217(4):240-5.
Schmidbauer, J. M., Voges, M., Hagen, T., & Ruprecht, K. W. (2000). [Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients]. Klinische Monatsblatter Fur Augenheilkunde, 217(4), 240-5.
Schmidbauer JM, et al. [Surgical Transvenous Embolization of Spontaneous Carotid Cavernous Sinus Fistulas in Two Patients]. Klin Monbl Augenheilkd. 2000;217(4):240-5. PubMed PMID: 11098460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients]. AU - Schmidbauer,J M, AU - Voges,M, AU - Hagen,T, AU - Ruprecht,K W, PY - 2000/12/1/pubmed PY - 2001/2/28/medline PY - 2000/12/1/entrez SP - 240 EP - 5 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 217 IS - 4 N2 - BACKGROUND: Arteriovenous communications in which blood flows from meningeal branches of the internal and external carotid arteries into the venous circulation around and in the cavernous sinus are termed spontaneous (dural) carotid sinus cavernous fistulas. Due to their mostly low shunt volume they are rarely life threatening, but without treatment they may cause severe ocular complications like episcleral secondary glaucoma, central vein occlusion or exudative retinal detachment. Traditional therapy is the transarterial approach by an interventional neuroradiologist. If such an approach is not possible or unsuccessful a transvenous route has to be considered. PATIENTS AND METHODS: Two patients underwent anterior orbitotomy via sub brow incision or infraciliary incision with cannulation of the superior ophthalmic vein or the inferior ophthalmic vein and embolization of the cavernous sinus with platinum coils. RESULTS: Successful closure was achieved on angiography and normalisation of clinical symptoms after a short period of progressive venous congestion. CONCLUSIONS: For arteriovenous fistulas that cannot be embolized arterially the surgical transvenous orbital route may work as a method of second choice. When performed by an interdisciplinary team (orbital surgeon, interventionell neuroradiologist) it is a technically straightforward, effective and promising approach. SN - 0023-2165 UR - https://www.unboundmedicine.com/medline/citation/11098460/[Surgical_transvenous_embolization_of_spontaneous_carotid_cavernous_sinus_fistulas_in_two_patients]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2000-10356 DB - PRIME DP - Unbound Medicine ER -