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J Cerebrovasc Endovasc Neurosurg. 2019 21(2): 101-106
The Journal of Cerebrovascular and Endovascular Neurosurgery
Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein
Woong Han, Jae Hoon Kim, Hee In Kang, Deok Ryeong Kim, Byung Gwan Moon, Joo Seung Kim
Department of Neurosurgery, Eulji University Eulji Hospital, Seoul, Korea

We describe a case of transvenous embolization through the dilated supraorbital vein to treat a dural carotid cavernous fistula. The approach through the common facial vein or direct access of the superior ophthalmic vein is a commonly used route to the superior ophthalmic vein when the approach via the inferior petrosal sinus is unavailable. In rare cases, the dilated supraorbital vein provides an alternative route and we discuss the technical details.
Key words : dural carotid cavernous fistula, supraorbital vein, transvenous embolization

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