Transcutaneous puncture of the superior ophthalmic vein for embolization of dural carotid-ophthalmic fistula.
Carotid-ophthalmic fistula is a rare disease, which can be treated by transvenous endovascular embolization. Here, we report a unique case with draining vein thrombosed, making a transvenous approach impossible. An old but valuable technique, direct transcutaneous puncture of the superior ophthalmic vein, was used to save the patient's right eye. The old technique, direct puncture of the superior ophthalmic vein, retains its irreplaceable usefulness in this special situation. Thus, interventional neuroradiologists should equip themselves with this essential technique.
Chen
Wen Hsien
WH
Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan - chenws.tw@gmail.com.
Tsai
I Chen
IC
Huang
Hou Chi
HC
Lin
Chun Han
CH
Hung
Hao Chun
HC
Wu
Chen Hao
CH
Chen
Clayton Chi Chang
CC