Embolization of dural carotid cavernous fistula via the superior ophthalmic vein approach: a case report

  • Nigel CS Lim National University Hospital, National University Health System, Singapore
  • Hazel Anne Lin Department of Ophthalmology, National University Hospital, National University Health System, Singapore
  • Kok Kee Tang KK Tang Adult and Paediatric Neurosurgery, Mount Elizabeth Hospital, Singapore
  • Cheng Kang Ong KK Tang Adult and Paediatric Neurosurgery, Mount Elizabeth Hospital, Singapore
  • Gangadhara Sundar Department of Ophthalmology, National University Hospital, National University Health System, Singapore
DOI: https://doi.org/10.35119/asjoo.v14i3.146
Keywords: Carotid cavernous sinus fistula, Hybrid operating theatre, hybrid operating theatre, Superior ophthalmic vein, superior ophthalmic vein, Cavernous sinus coiling, cavernous sinus coiling

Abstract

In this case report, we present a patient with Type B dural carotid-cavernous fistula (CCF), who had failed cannulation via the transfemoral route and subsequently underwent CCF occlusion via the anterior orbital approach through the superior ophthalmic vein (SOV). Successful occlusion of CCF was achieved, with excellent visual and cosmetic outcomes postoperatively. When all venous routes have been exhausted, the SOV approach is an excellent and viable alternative in the treatment of dural CCFs. Close cooperation between the orbital and neuro-interventional teams in a hybrid operating theatre setting is essential in ensuring success of the operation.

Published
2015-08-04
How to Cite
Lim, N., Lin, H., Tang, K. K., Ong, C. K., & Sundar, G. (2015). Embolization of dural carotid cavernous fistula via the superior ophthalmic vein approach: a case report. Asian Journal of Ophthalmology, 14(3), 118-123. https://doi.org/10.35119/asjoo.v14i3.146
Issue
Vol 14 No 3 (2016)
Section
Case Reports/Case Series

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