title: New aesthetic approach to carotid cavernous sinus fistula for coil embolization.
abstract: OBJECTIVE
  Transvenous embolization has become the treatment of choice for carotid cavernous sinus fistula (CCSF). We report a case of coil embolization of CCSF using a superior ophthalmic vein (SOV) approach.
  
  
  METHODS
  We have used the SOV approach on 5 patients with dural arteriovenous fistulas involving the cavernous sinus. Diagnostic facial contrast-enhanced computed tomography, brain magnetic resonance imaging, and contrast angiography and cerebral angiography revealed a CCSF. Fistula occlusion using an external SOV approach of CCSF was performed.
  
  
  RESULTS
  Angiography performed on both sides demonstrated complete occlusion of the fistula. We had good result with coil embolization via SOV approach. We have a 100% success rate with no major complication.
  
  
  CONCLUSIONS
  The coil embolization via SOV approach is a safe and effective treatment. The SOV can be channeled by allowing the insertion of detachable coils in the fistula. We suggest that there is need to training plastic surgeon to be experienced.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, Busan, South Korea.
authors.forename: Kyung Ah
authors.initials: KA
authors.lastname: Lee
authors.forename: Jin Woo
authors.initials: JW
authors.lastname: Kim
authors.forename: Hook
authors.initials: H
authors.lastname: Sun
authors.forename: Seok Joo
authors.initials: SJ
authors.lastname: Kang
authors.forename: Jae Hak
authors.initials: JH
authors.lastname: Jung
mesh_terms: D000368:Aged; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D004954:Esthetics; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome