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Neurosurgery. 1988 Jul;23(1):104-7.

Direct puncture of the cavernous sinus for obliteration of a recurrent carotid-cavernous fistula.

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Department of Radiology, Veterans General Hospital, Taipei, Taiwan, Republic of China.


The authors report direct transcutaneous puncture of the cavernous sinus through an intact orbit for embolization of a recurrent carotid-cavernous fistula (CCF) after 10 prior operations. The fistula was obliterated completely with this technique. No significant complication was noted except temporary ptosis for about 2 months. When other approaches are difficult or impossible, this technique can be an alternate way to treat a recurrent CCF after a trapping procedure.

[Indexed for MEDLINE]

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