Nakayama Sadayoshi, Terada Tomoaki, Wada Akira, Yabuzaki Hajime
Department of Neurosurgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Department of Neurosurgery, Showa University Koto Toyosu Hospital, Tokyo, Japan.
J Neuroendovasc Ther. 2022;16(7):361-365. doi: 10.5797/jnet.cr.2021-0032. Epub 2021 Oct 8.
We report a rare case of pterygopalatine fossa arterial venous shunt disease with venous congestion of the superior ophthalmic vein (SOV) that was treated by transarterial balloon-assisted embolization.
A 57-year-old man presented with congestion of the right bulbar conjunctiva, protrusion, and swelling of the right eyelid was admitted to our hospital. Angiography demonstrated an arteriovenous fistula (AVF) forming small congregated vessels in the pterygopalatine fossa fed by the branch of the ophthalmic artery (OA) and artery of the superior orbital fissure, draining into the SOV via the inferior ophthalmic vein (IOV). From the artery of the superior orbital fissure, transarterial embolization (TAE) with ONYX using a dual-lumen balloon catheter was performed. The patient was treated without complications.
TAE using transarterial balloon-assisted embolization with ONYX is effective for periorbital arteriovenous shunts, although special care is necessary to prevent the migration of ONYX into the OA.
我们报告一例罕见的翼腭窝动静脉分流疾病伴眼上静脉（SOV）静脉淤血，采用经动脉球囊辅助栓塞治疗。
一名57岁男性因右眼球结膜充血、右眼睑突出和肿胀入院。血管造影显示在翼腭窝内由眼动脉（OA）分支和眶上裂动脉供血形成小的聚集血管的动静脉瘘（AVF），经眼下静脉（IOV）引流至SOV。经眶上裂动脉，使用双腔球囊导管用ONYX进行经动脉栓塞（TAE）。患者治疗过程无并发症。
使用ONYX经动脉球囊辅助栓塞进行TAE对眶周动静脉分流有效，尽管需要特别注意防止ONYX迁移至OA。
