The superior ophthalmic vein approach for the treatment of carotid-cavernous fistulas: our first experience

Abstract

Abstract:Complex cavernous sinus fistulae (CCF) are still a technical challenge to neurovascular team. The most commonly performed treatment consists in endovascular embolization of the lesion through an arterial or venous approach. Not always these conventional routes are feasible, requiring alternative routes. We report a case of a 44-year-old woman with a complex indirect (Barrow D) carotid cavernous sinus fistula treated by two interventional sessions that imposing a retrograde direct transvenous approach via the superior ophthalmic vein.

The Superior Ophthalmic Vein Approach for the Treatment of Carotid-Cavernous Fistulas: Our First Experience

“…Intracranial dural arteriovenous fistulae are predominantly idiopathic arteriovenous shunts located inside the duramater. They account for 10-15% of all intracranial arteriovenous malformations [1][2][3][4][5][6][7][8][9]. Barrow et al classified CCFs into 04 groups according to arterial feeders: direct fistulas (Barrow type A) and dural, or indirect fistulas (Barrow types B, C, and D).…”