经结膜眶切开术直接栓塞治疗自发性眶内动静脉瘘
Surgical treatment of a spontaneous intraorbital arteriovenous fistula with direct embolization via transconjunctival orbitotomy.
作者信息
Choi Bong J, Thacker Ike C, Vrcek Ivan
机构信息
Texas A&M School of Medicine, Dallas, Texas, USA.
Department of Neuroradiology, Baylor University Medical Center, Dallas, Texas, USA.
出版信息
Proc (Bayl Univ Med Cent). 2024 Feb 8;37(2):330-333. doi: 10.1080/08998280.2023.2299764. eCollection 2024.
Abstract
Spontaneous arteriovenous fistula is a rare orbital lesion that may cause proptosis, ptosis, chemosis, and visual disturbances. The widely practiced treatment is a transvenous embolization approach accessed from the femoral or petrosal sinus. In this case report, we present a surgical approach via transconjunctival orbitotomy for direct access to achieve complete fistula embolization. The postoperative course revealed progressive, near-complete symptomatic improvement.
摘要
自发性动静脉瘘是一种罕见的眼眶病变，可导致眼球突出、上睑下垂、结膜水肿和视觉障碍。目前广泛采用的治疗方法是经股静脉或岩下窦进行经静脉栓塞术。在本病例报告中，我们介绍了一种经结膜眶切开术的手术方法，可直接进入病变部位以实现完全的瘘管栓塞。术后病程显示症状逐渐改善，几乎完全缓解。
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