The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Don O Kikkawa - One of the best experts on this subject based on the ideXlab platform.
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spontaneous Superior Ophthalmic Vein thrombosis a rare entity with potentially devastating consequences
Eye, 2014Co-Authors: Richard L Scawn, Katherine M Whipple, Sangrog Oh, Bobby S Korn, Mark J. Lucarelli, Don O KikkawaAbstract:Spontaneous Superior Ophthalmic Vein thrombosis: a rare entity with potentially devastating consequences
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severe vision loss and neovascular glaucoma complicating Superior Ophthalmic Vein approach to carotid cavernous sinus fistula
American Journal of Ophthalmology, 1997Co-Authors: Don O Kikkawa, Leah Levi, Neeru Gupta, Robert N WeinrebAbstract:Purpose To report a patient with unilateral vision loss and neovascular glaucoma after attempted Superior Ophthalmic Vein embolization in the treatment of a carotid-cavernous sinus fistula. Methods A 69-year-old man with a history of a left dural carotid-cavernous sinus fistula underwent attempted treatment with Superior Ophthalmic Vein embolization. The procedure was unsuccessful, and the left Superior Ophthalmic Vein was ligated. Results Uncontrolled left proptosis and intraocular pressure necessitated urgent orbital decompression with severe vision loss and neovascular glaucoma. Conclusion Superior Ophthalmic Vein embolization in the management of carotid-cavernous fistula may be associated with vision-threatening complications.
Wolfgang Lanksch - One of the best experts on this subject based on the ideXlab platform.
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treatment of a cavernous sinus dural arteriovenous fistula by deep orbital puncture of the Superior Ophthalmic Vein
Neuroradiology, 2001Co-Authors: Goetz Benndorf, Horst Menneking, Andrea Campi, Andreas Bender, Wolfgang LankschAbstract:In a patient with progressive ophthalmological problems, including uncontrolled intraocular pressure related to a cavernous sinus dural arteriovenous fistula, urgent intervention may be necessary to prevent permanent visual loss. We report a case in which inadequate transarterial embolisation and lack of access for transvenous catheterisation, including a direct approach through the Superior Ophthalmic Vein, preceded percutaneous puncture of the Superior Ophthalmic Vein deep within the orbit, permitting venous occlusion without complications. This case demonstrates that deep orbital puncture of the Vein is feasible for occlusion of a cavernous sinus dural arteriovenous fistula.
Liu Ai-hua - One of the best experts on this subject based on the ideXlab platform.
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Packing of cavernous sinus with facial Vein-Superior Ophthalmic Vein approaches
Chinese Journal of Neurosurgery, 2006Co-Authors: Liu Ai-huaAbstract:Objective To evaluate the efficacy of facial Vein-Superior Ophthalmic Vein approach to embolize carotid-cavernous sinus fistulas. Methods The involved cavernous sinus was catheterized through the femoral Vein-facial Vein- Superior Ophthalmic Vein approach. GDC, EDC, free microcoil, or silk were used to pack the sinus and occlude the shunt. If there was any difficulty in catheterizing the faical Vein, facial Vein was exposed surgically and punctured, and then, through the Superior opthalmic Vein, the cavernous sinus was packed. Results 16 cavernous sinuses in 14 CCF patients(5 traumatic CCFs, 9 dural CCFs) were catheterized through facial Vein-Superior Ophthalmic Vein approach, and the technical success was achieved in 15 cavernous sinuses. Immediate angiographic cure of the shunts was achieved in 11 cases, residual shunts with inferior petrosal sinus drainage in 2. Facial Vein occlusion was encountered in 1 patient during the facial Vein catheterization, further packing of the cavernous sinus was not performed, but follow-up angiography at the 21st day revealed spontaneous cure of the shunt. The VI cranial nerve palsy present after balloon embolization in a type A CCF was not improved after packing of the cavernous sinus. Ocular symptoms in other patients disappeared after tranvenous embolization. The clinical follow-up period ranged from 3 to 21 months, no recurrence of the symptoms was found. Follow-up angiography in 2 patients with residual shunting showed unchanged shunts, no further embolization was performed. No follow-up angiography was performed in other patients. Conclusions The facial Vein-Superior Ophthalmic Vein approach can be chosen as an optimal treatment for dural CCFs, and an important alternative treatment for type A CCFs after the failure of the initial balloon embolization.
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Treatment of CCFs with facial Vein-Superior Ophthalmic Vein approaches
Journal of Interventional Radiology, 2004Co-Authors: Liu Ai-huaAbstract:Objective To evaluate the efficacy of facial Vein-Superior Ophthalmic Vein approach to embolize carotid-cavernous sinus fistulas.Metheds The involved cavernous sinus was catheterized through the femoral Vein-facial Vein- Superior Ophthalmic Vein approach, GDC, EDC, free microcoil, or silk were used to pack the sinus and occlude the shunt. If therer was any difficulty in catheterizing the faical Vein, facial Vein was exposed surgically and punctured, and then, through the Superior opthalmic Vein, the cavernous sinus was packed. Results 16 cavernous sinuses in 14 CCF patients(5 traumatic CCFs, 9 dural CCFs) were catheterized through facial Vein-Superior Ophthalmic Vein approach, and the technical success was achieved in 15 cavernous sinuses. Immediate angiographic cure of the shunts was achieved in 11cases, residual shunts with inferior petral sinus drainage in 2. Facial Vein occlusion was encountered in 1 patient during the facial Vein catheterization, further packing of the cavernous sinus was not performed, but follow-up angiography at the 21 st day revealed the spontaneous cure of the shunt. The VI cranial nerve palsy present after balloon embolization in a type A CCF was not improved after the packing of the cavernous sinus. Ocular symptoms in other patients disappeared after tranvenous embolization. The clinical follow-up period ranged from 3 to 21 months, no recurrence of the symptoms was found. Follow-up angiography in 2 patients with residual shunting showed the unchanged shunts, no further embolization was performed. No follow-up angiography was performed in other patients.Conclusions The facial Vein-Superior Ophthalmic Vein approach can be chosen as an optimum treatment for dural CCFs, and an important alternative treatment for type A CCFs after the failure of the initial balloon embolization.
A G Wang - One of the best experts on this subject based on the ideXlab platform.
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paradoxical worsening with Superior Ophthalmic Vein thrombosis after gamma knife radiosurgery for dural arteriovenous fistula of cavernous sinus a case report suggesting the mechanism of the phenomenon
Eye, 2006Co-Authors: A G Wang, H M WuAbstract:Paradoxical worsening with Superior Ophthalmic Vein thrombosis after gamma knife radiosurgery for dural arteriovenous fistula of cavernous sinus: a case report suggesting the mechanism of the phenomenon
J H Tsai - One of the best experts on this subject based on the ideXlab platform.
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transvenous embosurgery of a left sigmoid sinus dural arteriovenous fistula via a retrograde approach from the Superior Ophthalmic Vein cavernous and inferior petrosal sinuses
Journal of NeuroInterventional Surgery, 2011Co-Authors: Delip V. Patel, Rajesh Rangaswamy, J L Hester, D K Mcdonald, Walter S. Lesley, J H TsaiAbstract:The efficacy and safety of transvenous embosurgery for sigmoid sinus dural arteriovenous fistula (DAVF) using the internal jugular Vein approach is well known. Embosurgery of cavernous sinus DAVF has also been described utilizing a Superior Ophthalmic Vein approach. The first report of a sigmoid sinus DAVF endosurgical repair via a Superior Ophthalmic Vein approach in a patient without internal jugular Vein access is presented.