Transfemoral Superior Ophthalmic Vein Approach Via the Facial Vein for the Treatment of Carotid-Cavernous Fistulas —Two Case Reports—

Shinya KOHYAMA; Tatsumi KAJI; Aya M. TOKUMARU; Shoichi KUSANO; Shoichiro ISHIHARA; Katsuji SHIMA

doi:10.2176/nmc.42.18

Case Reports

Transfemoral Superior Ophthalmic Vein Approach Via the Facial Vein for the Treatment of Carotid-Cavernous Fistulas

—Two Case Reports—

Shinya KOHYAMA, Tatsumi KAJI, Aya M. TOKUMARU, Shoichi KUSANO, Shoichiro ISHIHARA, Katsuji SHIMA

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Keywords: carotid-cavernous fistula, cavernous sinus, superior ophthalmic vein, facial vein, embolization

JOURNAL OPEN ACCESS

2002 Volume 42 Issue 1 Pages 18-22

DOI https://doi.org/10.2176/nmc.42.18

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Abstract

Two elderly female patients with carotid-cavernous fistulas (CCFs) were treated by transvenous embolization through a transfemoral superior ophthalmic vein approach via the facial vein. Complete occlusion of CCFs was not achieved with this technique exclusively, but the technique was effective in these cases. This technique provides an alternative to other transvenous approaches for the treatment of CCFs.

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