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Surgical Exposure of the Superior Ophthalmic Vein in the Management of Carotid Cavernous Fistulas at Johns Hopkins Medical Institutions

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Book cover Endovascular Interventional Neuroradiology

Part of the book series: Contemporary Perspectives in Neurosurgery ((COPENEU))

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Abstract

Most fast flow carotid-cavernous fistulas (CCFs) are successfully treated with endoarterial techniques.1 A detachable balloon is advanced into the internal carotid artery (ICA) and detached into the cavernous sinus. However, when the internal carotid artery has been previously trapped or when the endoarterial balloon does not enter the cavernous sinus, the venous route becomes the best alternative. The superior ophthalmic vein (SOV) approach is indicated whenever the cavernous sinus cannot be reached through the inferior petrosal sinus or through catheterization of the jugular and facial veins.

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References

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Authors
  1. Gerard M. Debrun
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Editors and Affiliations

  1. College of Physicians and Surgeons of Columbia University, 10032, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  2. The New York Neurological Institute, 10032, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  3. Lenox Hill Hospital, 10021, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  4. College of Physicians and Surgeons of Columbia University, 10032, New York, NY, USA

    Bennett M. Stein MD (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery) (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery)

  5. Department of Neorolocal Surgery, The New York Neurological Institute, 10032, New York, NY, USA

    Bennett M. Stein MD (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery) (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery)

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© 1995 Springer-Verlag New York, Inc.

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Debrun, G.M. (1995). Surgical Exposure of the Superior Ophthalmic Vein in the Management of Carotid Cavernous Fistulas at Johns Hopkins Medical Institutions. In: Holtzman, R.N.N., Stein, B.M., Winston, H. (eds) Endovascular Interventional Neuroradiology. Contemporary Perspectives in Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2464-8_7

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  • DOI: https://doi.org/10.1007/978-1-4612-2464-8_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7548-0

  • Online ISBN: 978-1-4612-2464-8

  • eBook Packages: Springer Book Archive

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