Embolization of carotid cavernous fistula by means of direct puncture through the superior orbital fissure

Michael M.H. Teng*, Jiing Feng Lirng, Tsuen Chang, Shing Su Chen, Wan Yuo Guo, Chi Chang Cheng, Wu Chung Shen, Liang Shong Lee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

PURPOSE: To embolize carotid cavernous fistulas (CCFs) by means of transorbital puncture of the cavernous sinus (CS) and the cavernous segment of the internal carotid artery (ICA) through the superior orbital fistula. MATERIALS AND METHODS: Five patients with CCF were treated with embolization of the CS, and six were treated with embolization of both the CS and the cavernous portion of the ICA after transorbital puncture. All except one had previously undergone occlusion of the ipsilateral proximal ICA before direct transorbital puncture. RESULTS: The fistulas in these cases were all obliterated completely. Only two patients had temporary ptosis. No other remarkable complications were noted. The patent ICA on the side of the fistula in one patient remained patent after embolization. CONCLUSION: Direct transorbital puncture through the superior orbital fissure is an alternate treatment for CCF, especially when the ipsilateral ICA has been occluded.

Original languageEnglish
Pages (from-to)705-711
Number of pages7
JournalRadiology
Volume194
Issue number3
DOIs
StatePublished - Mar 1995

Fingerprint

Dive into the research topics of 'Embolization of carotid cavernous fistula by means of direct puncture through the superior orbital fissure'. Together they form a unique fingerprint.

Cite this