Berlis Ansgar, Klisch Joachim, Spetzger Uwe, Faist Michael, Schumacher Martin
Department of Neuroradiology, University of Freiburg, Freiburg, Germany.
AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1736-8.
We report the case of a 74-year-old woman with a complex indirect (Barrow D) carotid cavernous sinus fistula. The patient was treated incrementally and finally cured by a rarely reported bilateral retrograde direct transvenous approach via the superior ophthalmic vein. The treatment of the complex carotid cavernous fistula with multiple bilateral fistula points showed additional complexity due to a partially thrombosed left superior ophthalmic vein, which required a combined microsurgical and endovascular treatment, showing that treatment can be achieved, if necessary, by catheterization of a thrombosed orbital vein.
我们报告了一例74岁患有复杂间接型（巴罗D型）颈内动脉海绵窦瘘的女性病例。该患者接受了逐步治疗，最终通过一种罕见的经眼上静脉双侧逆行直接静脉入路治愈。由于左侧眼上静脉部分血栓形成，具有多个双侧瘘口的复杂颈内动脉海绵窦瘘的治疗显示出额外的复杂性，这需要显微外科和血管内治疗相结合，表明必要时可通过对血栓形成的眼眶静脉进行插管来实现治疗。
