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Ophthalmologic outcome of transvenous embolization of spontaneous carotid-cavernous fistulas: a preliminary report

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Abstract

We give a preliminary report of theophthalmologic outcome offour patients with transvenousembolization studied for their spontaneouscarotid-cavernous fistulas. One ofthem is a direct type while threeof them are indirect dural shunts. Inindirect dural shunts, traditionaltransarterial embolization rarelyachieves a complete clinical cure in ashort period of time. All caseshad an ophthalmologic disturbancejustified for endovascularintervention. We performed catheterization,and subsequently embolization withGuglielmi Detachable coils, tothe cavernous sinus via the femoralvein and inferior petrosal sinus/superiorophthalmic vein. All fourpatients achieved clinical andangiographic improvement with afollow-up period range from twoto sixteen months except for onepatient who had residual bilateralsixth nerve palsy. The transvenousapproach offers an effective andsafe alternative for the management ofspontaneous carotid-cavernous fistula.

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Liang, CC., Michon, J.J., Cheng, KM. et al. Ophthalmologic outcome of transvenous embolization of spontaneous carotid-cavernous fistulas: a preliminary report. Int Ophthalmol 23, 43–47 (1999). https://doi.org/10.1023/A:1006409826007

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  • DOI: https://doi.org/10.1023/A:1006409826007

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