Treatment of dural carotid-cavernous fistulas via the superior ophthalmic vein

L. H. Monsein, G. M. Debrun, N. R. Miller, H. J.W. Nauta, J. R. Chazaly

Research output: Contribution to journalArticle

Abstract

Symptomatic patients with dural carotid-cavernous fistulas often require treatment. Traditional therapies, which often are not completely successful, include manual common carotid artery compression and embolization via transarterial routes. This report describes four symptomatic patients with spontaneous dural carotid-cavernous fistulas who were treated unsuccessfully with transarterial embolotherapy and subsequently treated successfully by having a detachable balloon introduced into the cavernous sinus via the superior ophthalmic vein, which was surgically exposed. The fistulas resolved without complications. Treatment of dural carotid-cavernous fistulas by means of the transvenous approach via the superior ophthalmic vein may be of benefit in selected patients.

Original languageEnglish (US)
Pages (from-to)435-439
Number of pages5
JournalAmerican Journal of Neuroradiology
Volume12
Issue number3
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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    Monsein, L. H., Debrun, G. M., Miller, N. R., Nauta, H. J. W., & Chazaly, J. R. (1991). Treatment of dural carotid-cavernous fistulas via the superior ophthalmic vein. American Journal of Neuroradiology, 12(3), 435-439.