Blind endovascular catheterization and direct access of an occluded superior ophthalmic vein for treatment of carotid cavernous fistula.

@article{Alaraj2014BlindEC,
  title={Blind endovascular catheterization and direct access of an occluded superior ophthalmic vein for treatment of carotid cavernous fistula.},
  author={Ali Alaraj and Bobby Kim and Gerald S. Oh and Victor Allyn Aletich},
  journal={Journal of neurointerventional surgery},
  year={2014},
  volume={6 4},
  pages={e30}
}
We describe a case of an elderly patient who presented with right-sided ophthalmoplegia, proptosis, chemosis, and increased intraocular pressure. An angiogram showed feeding vessels from the bilateral internal and external carotid arteries. Our initial attempt to blindly probe the inferior petrosal sinus was unsuccessful. This was followed by a right anterior orbitotomy exposing the superior ophthalmic vein which was directly cannulated with an 18 gauge angiocatheter. However, a proximal third… CONTINUE READING

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