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[Difficult cannulation of the superior ophthalmic vein in the treatment of cavernous sinus dural arteriovenous fistula: two case reports].
No Shinkei Geka. 2008 Feb; 36(2):165-70.NS

Abstract

Retrograde cannulation of the superior ophthalmic vein (SOV) is an important route for embolization of cavernous sinus dural arteriovenous fistula (dAVF). We encountered two cases with significant difficulties with cannulation of the SOV. A 66-year-old woman and an 83-year-old woman were referred to our hospital for treatment of cavernous sinus dAVF. Unilateral chemosis and exophthalmos were seen in both patients. At first, transarterial embolization was performed to reduce the flow, then, transvenous embolization was employed for the treatment of cavernous sinus dAVF. The attempts to embolize through a transfemoral route failed owing to a thrombosed or compartmentalized cavernous sinus. Surgical exposure of the SOV and puncture with needle-cannula was tried. However, in both cases, unsuccessful cannulation resulted in uncontrollable bleeding and periorbital swelling. Finally, by using road-mapping SOV was punctured in the deeper part and the fistula was obliterated with detachable coils. Postoperative course was uneventful and their symptoms were improved. Although the SOV is a useful route for cavernous sinus dAVF embolization, the presence of narrowed or tortuous veins can preclude successful cannulation.

Authors+Show Affiliations

Department of Radiology, Nagasaki University School of Medicine, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

18265700

Citation

Hayashi, Kentaro, et al. "[Difficult Cannulation of the Superior Ophthalmic Vein in the Treatment of Cavernous Sinus Dural Arteriovenous Fistula: Two Case Reports]." No Shinkei Geka. Neurological Surgery, vol. 36, no. 2, 2008, pp. 165-70.
Hayashi K, Kitagawa N, Morikawa M, et al. [Difficult cannulation of the superior ophthalmic vein in the treatment of cavernous sinus dural arteriovenous fistula: two case reports]. No Shinkei Geka. 2008;36(2):165-70.
Hayashi, K., Kitagawa, N., Morikawa, M., Hiu, T., Morofuji, Y., Suyama, K., & Nagata, I. (2008). [Difficult cannulation of the superior ophthalmic vein in the treatment of cavernous sinus dural arteriovenous fistula: two case reports]. No Shinkei Geka. Neurological Surgery, 36(2), 165-70.
Hayashi K, et al. [Difficult Cannulation of the Superior Ophthalmic Vein in the Treatment of Cavernous Sinus Dural Arteriovenous Fistula: Two Case Reports]. No Shinkei Geka. 2008;36(2):165-70. PubMed PMID: 18265700.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Difficult cannulation of the superior ophthalmic vein in the treatment of cavernous sinus dural arteriovenous fistula: two case reports]. AU - Hayashi,Kentaro, AU - Kitagawa,Naoki, AU - Morikawa,Minoru, AU - Hiu,Takeshi, AU - Morofuji,Yoichi, AU - Suyama,Kazuhiko, AU - Nagata,Izumi, PY - 2008/2/13/pubmed PY - 2008/4/9/medline PY - 2008/2/13/entrez SP - 165 EP - 70 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 36 IS - 2 N2 - Retrograde cannulation of the superior ophthalmic vein (SOV) is an important route for embolization of cavernous sinus dural arteriovenous fistula (dAVF). We encountered two cases with significant difficulties with cannulation of the SOV. A 66-year-old woman and an 83-year-old woman were referred to our hospital for treatment of cavernous sinus dAVF. Unilateral chemosis and exophthalmos were seen in both patients. At first, transarterial embolization was performed to reduce the flow, then, transvenous embolization was employed for the treatment of cavernous sinus dAVF. The attempts to embolize through a transfemoral route failed owing to a thrombosed or compartmentalized cavernous sinus. Surgical exposure of the SOV and puncture with needle-cannula was tried. However, in both cases, unsuccessful cannulation resulted in uncontrollable bleeding and periorbital swelling. Finally, by using road-mapping SOV was punctured in the deeper part and the fistula was obliterated with detachable coils. Postoperative course was uneventful and their symptoms were improved. Although the SOV is a useful route for cavernous sinus dAVF embolization, the presence of narrowed or tortuous veins can preclude successful cannulation. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/18265700/[Difficult_cannulation_of_the_superior_ophthalmic_vein_in_the_treatment_of_cavernous_sinus_dural_arteriovenous_fistula:_two_case_reports]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=0301-2603&rft.volume=36&rft.issue=2&rft.spage=165 DB - PRIME DP - Unbound Medicine ER -