Embolization of carotid cavernous fistulas via the superior ophthalmic vein

Aust N Z J Ophthalmol. 1997 Feb;25(1):47-53. doi: 10.1111/j.1442-9071.1997.tb01275.x.


Background: Carotid cavernous fistulae are treatable by various means, one of which is embolization via the superior ophthalmic vein (SOV). The use of this technique over the past 12 years at the Royal Melbourne Hospital, Victoria, Australia, is reviewed.

Methods: Five patients with carotid cavernous fistulas were treated with embolization of the fistula via the surgically isolated SOV.

Results: Each patient had successful endovascular closure of the fistula using embolization via the SOV approach.

Conclusions: Treatment of certain types of carotid cavernous fistulas that cannot be closed by the conventional endovascular (arterial and venous) approaches can be successfully closed by using a transvenous approach through the SOV.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / etiology
  • Carotid Artery Diseases / therapy*
  • Carotid Artery, External / diagnostic imaging
  • Carotid Artery, External / pathology
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / pathology
  • Catheterization, Peripheral / methods*
  • Cavernous Sinus*
  • Cerebral Angiography
  • Embolization, Therapeutic / methods*
  • Eye / blood supply*
  • Female
  • Follow-Up Studies
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Veins
  • Visual Acuity