Treatment of Carotid-Cavernous Sinus Fistulas Using a Detachable Balloon Catheter Through the Superior Ophthalmic Vein

Anne M. Hanneken, Neil R. Miller, Gerard M. Debrun, Haring J.W. Nauta

Research output: Contribution to journalArticlepeer-review

Abstract

Four consecutive patients with carotid-cavernous sinus fistulas that could not be treated by the standard techniques of endoarterial balloon occlusion or embolization were successfully treated by advancement of a detachable balloon catheter through the ipsilateral superior ophthalmic vein. Under angiographic monitoring, the balloon was passed into the cavernous sinus, inflated to close the fistula, and detached. Three of the patients had a spontaneous fistula, and one had a traumatic fistula that had previously been trapped unsuccessfully. All patients had complete resolution of symptoms and signs after occlusion of the fistula. There were no intraoperative or postoperative complications. The transvenous approach to the cavernous sinus through the superior ophthalmic vein is a safe, effective treatment of carotid-cavernous sinus fistulas, whether they are direct or dural in nature.

Original languageEnglish (US)
Pages (from-to)87-92
Number of pages6
JournalArchives of ophthalmology
Volume107
Issue number1
DOIs
StatePublished - Jan 1989

ASJC Scopus subject areas

  • Ophthalmology

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