Transvenous embolization of indirect carotidcavernous fistula via upper ophthalmic/facial vein – Case report and literature review
S. Sirakov, Ch. Bachvarov, M. Penkov, A. Sirakov, B. Kamenov,Y. Todorov, K. Ninov
Indirect carotid-cavernous fistula or dural arteriovenous fistula of cavernous sinus is relatively rare pathologic finding. Different classifications of carotid-cavernous fistulae are proposed. Now days more and more they are treated by
endovascular approach. A case of authors’ practice of transvenous embolization of carotid-cavernous fistula via upper ophthalmic vein in 52 year old female is presented with review of the literature. A week later ocular symptoms of the patient regressed. Control angiography at the third moth follow up does not visualize fistula. The transvenous approach in management of carotid cavernous fistulae is safe and effective in cases direct arterial approach is absent or technically impossible
|Key words: INDIRECT CAROTID-CAVERNOUS FISTULA.