[Surgical transvenous embolization of spontaneous carotid cavernous sinus fistulas in two patients].

Abstract:

BACKGROUND:Arteriovenous communications in which blood flows from meningeal branches of the internal and external carotid arteries into the venous circulation around and in the cavernous sinus are termed spontaneous (dural) carotid sinus cavernous fistulas. Due to their mostly low shunt volume they are rarely life threatening, but without treatment they may cause severe ocular complications like episcleral secondary glaucoma, central vein occlusion or exudative retinal detachment. Traditional therapy is the transarterial approach by an interventional neuroradiologist. If such an approach is not possible or unsuccessful a transvenous route has to be considered. PATIENTS AND METHODS:Two patients underwent anterior orbitotomy via sub brow incision or infraciliary incision with cannulation of the superior ophthalmic vein or the inferior ophthalmic vein and embolization of the cavernous sinus with platinum coils. RESULTS:Successful closure was achieved on angiography and normalisation of clinical symptoms after a short period of progressive venous congestion. CONCLUSIONS:For arteriovenous fistulas that cannot be embolized arterially the surgical transvenous orbital route may work as a method of second choice. When performed by an interdisciplinary team (orbital surgeon, interventionell neuroradiologist) it is a technically straightforward, effective and promising approach.

journal_name

Klin Monbl Augenheilkd

authors

Schmidbauer JM,Voges M,Hagen T,Ruprecht KW

doi

10.1055/s-2000-10356

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

240-5

issue

4

eissn

0023-2165

issn

1439-3999

journal_volume

217

pub_type

杂志文章
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    doi:10.1055/s-2002-33583

    authors: Hudde T,Heinz C,Neudorf U,Hoeft S,Heiligenhaus A,Steuhl KP

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  • [Retinopathy of prematurity].

    abstract::This review summarizes the knowledge and highlights recent advances in clinical research of retinopathy of prematurity (ROP). This disease is still important, because improvements in neonatal intensive care during the last years have increased the survival of the most immature newborns, but did not diminish the ROP fr...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

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  • [Laser scanning topography and polarimetry with implantation of intraocular lenses before and after cataract surgery].

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    doi:10.1055/s-2008-1034816

    authors: Kremmer S,Pflug A,Heiligenhaus A,Fanihagh F,Steuhl KP

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    doi:

    authors: Huismans H

    更新日期:1976-10-01 00:00:00

  • [Vision Screening in Zurich].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

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    doi:

    authors: Sundmacher R

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  • Follicular conjunctivitis caused by a mantle cell lymphoma.

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  • [Are there genuine and pseudo-normal pressure glaucomas? Body position-dependent intraocular pressure values in normal pressure glaucoma].

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  • [Intraocular inflammations. Anamnesis and clinical study].

    abstract::Extensive laboratory work-ups are often called for to establish the diagnosis in uveitis cases. In order to interpret the results, however, the degree of validity of the tests must be known. As the number of laboratory tests increases there is a considerable increase in the probability of false-positive results. Demog...

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    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1046387

    authors: Messerli J

    更新日期:1989-05-01 00:00:00

  • [Surface quality of flexible silicone intraocular lenses. A scanning electron microscopy study].

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    doi:10.1055/s-2008-1035377

    authors: Kohnen T,Magdowski G,Koch DD

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  • [Occurrence of diffusions shown by fluorescence angiography of the laser coagulation in animals (author's transl)].

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    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Baurmann H,Chioralia G,Schomacher L,Sasaki K

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  • [Television fluorescence angiography and image analysis: clinical use with a case example].

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    doi:10.1055/s-2008-1050888

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    更新日期:1985-02-01 00:00:00

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    doi:10.1055/s-2008-1055006

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    doi:

    authors: Dannheim R

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  • [Quiz on an unusual orbital masquerade syndrome].

    abstract:BACKGROUND:After consulting the here presented CT-images of the orbit, the question was raised whether the ocular bulbus was really enucleated or the anamnesis was wrong and a lymphoma existed in the orbit. We will therefore discuss a case of a special follow-up after an enucleation with implantation of a "Bangerter Pl...

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  • [Perimetric diagnosis of chiasmal injury after contusion of skull and brain (author's transl)].

    abstract::After a discussion of the pathomechanism of skull trauma by a blow leading to chiasmal lesion, frontobasal injuries of the skull are considered; it is shown that typical defects of the visual field resulting from chiasmal damage can be revealed not only in cases of serious industrial or traffic accidents with brain co...

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    pub_type: 杂志文章

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  • [Unilateral chronic granulomatous blepharitis as a leading symptom of Oriental cutaneous leishmaniasis in Germany. Giesma stain as rapid diagnosis and initial description of systemic therapy with gamma-interferon].

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    更新日期:1992-03-01 00:00:00

  • [Eye involvement in cancer].

    abstract::Intraocular metastatic tumors are rare. They are seen in 10% of patients having died of a malignant tumor. Frequently metastatic tumors of the eye are not observed clinically because the may develop in the terminal stage of the disease. The most frequent primary tumor is carcinoma of the breast with 60% of all intraoc...

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    doi:

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    doi:

    authors: Roth K,Lange CE

    更新日期:1975-05-01 00:00:00

  • Reattachment of Descemet's membrane using C3F8 gas in an eye with a Baerveldt aqueous shunt.

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    authors: Miettinen P,Aine E,Partanen M

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  • [Chiasma injury following skull trauma (author's transl)].

    abstract::After a discussion of the pathomechanism of frontobasal cranial injury with a consecutive chiasmal lesion and diabetes insipidus due to a fracture of the basis of the skull, a personal observation of bitemporal hemianopia with a transient diabetes insipidus after a frontal motorcycle crash is recorded. A short survey ...

    journal_title:Klinische Monatsblatter fur Augenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Fulmek R

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  • Intravitreal triamcinolone injection for unresponsive cystoid macular oedema in probable Behçet's disease as an additional therapy.

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  • [Ultrastructural changes in keratoconus].

    abstract::In case of keratoconus the epithelial cells are also participating in the pathological processes. Their activity of producing basal membrane is increased. In the stroma four cell types are found; two of them are normal elements. The origin of the two pathological forms is unknown. They may represent as well vagrant ce...

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    pub_type: 杂志文章

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    authors: Süveges I

    更新日期:1979-03-01 00:00:00

  • [Long-term radiation damage to the skin and eye after combined beta- and gamma- radiation exposure during the reactor accident in Chernobyl].

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  • [Medical Management of Glaucoma].

    abstract::Glaucoma is the leading cause of irreversible blindness in Germany and in the world. Due to the multifactorial genesis of the disease, there are multiple therapeutic approaches for preventing its progression. The goal of the commonly used topical glaucoma medication is to reduce the intraocular pressure and therefore ...

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    pub_type: 杂志文章

    doi:10.1055/a-1229-1390

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  • [Lidloading and intraocular pressure].

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