Sato Yoshiki, Hattori Kenichi, Okamoto Takeshi, Fujitani Shigeru, Wada Kentaro, Saito Tsuyoshi, Okumura Taro, Hatano Hisashi
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan.
J Neuroendovasc Ther. 2021;15(1):64-70. doi: 10.5797/jnet.tn.2020-0067. Epub 2020 Sep 1.
We report a case of dural arteriovenous fistula (dAVF) at the cavernous sinus treated by direct puncture of the superior ophthalmic vein (SOV) using an electromagnetic navigation system.
The case involved a 70-year-old male patient who presented with mild chemosis, proptosis, and abducens palsy of the right eye. In this case, we used an electromagnetic navigation system for direct puncture of the SOV. Angiographic obliteration of the fistula was confirmed and the visual symptoms recovered well after surgery. There were no complications associated with direct puncture of the SOV using the electromagnetic navigation system.
Direct puncture of the SOV to obliterate a dAVF is a possible alternative choice of treatment when the usual transvenous access route fails. To reduce the risk of complications, an electromagnetic navigation system is useful.
我们报告一例使用电磁导航系统经眼上静脉（SOV）直接穿刺治疗海绵窦硬脑膜动静脉瘘（dAVF）的病例。
该病例为一名70岁男性患者，表现为右眼轻度球结膜水肿、眼球突出和外展神经麻痹。在此病例中，我们使用电磁导航系统经SOV直接穿刺。血管造影证实瘘管闭塞，术后视觉症状恢复良好。使用电磁导航系统经SOV直接穿刺未出现并发症。
当常规经静脉入路失败时，经SOV直接穿刺闭塞dAVF是一种可行的替代治疗选择。为降低并发症风险，电磁导航系统很有用。
