Usefulness of an Electromagnetic Navigation System for Direct Percutaneous Puncture of the Superior Ophthalmic Vein

Yoshiki Sato; Kenichi Hattori; Takeshi Okamoto; Shigeru Fujitani; Kentaro Wada; Tsuyoshi Saito; Taro Okumura; Hisashi Hatano

doi:10.5797/jnet.tn.2020-0067

TECHNICAL NOTE

Usefulness of an Electromagnetic Navigation System for Direct Percutaneous Puncture of the Superior Ophthalmic Vein

Yoshiki Sato, Kenichi Hattori, Takeshi Okamoto, Shigeru Fujitani, Kentaro Wada, Tsuyoshi Saito, Taro Okumura, Hisashi Hatano

Author information

Yoshiki Sato
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Kenichi Hattori
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Takeshi Okamoto
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Shigeru Fujitani
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Kentaro Wada
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Tsuyoshi Saito
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Taro Okumura
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan
Hisashi Hatano
Department of Neurosurgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Aichi, Japan

Keywords: dural arteriovenous fistula, cavernous sinus, direct puncture, superior ophthalmic vein, electromagnetic navigation system

JOURNAL OPEN ACCESS

2021 Volume 15 Issue 1 Pages 64-70

DOI https://doi.org/10.5797/jnet.tn.2020-0067

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Details

Abstract

Objective: We report a case of dural arteriovenous fistula (dAVF) at the cavernous sinus treated by direct puncture of the superior ophthalmic vein (SOV) using an electromagnetic navigation system.

Case Presentation: The case involved a 70-year-old male patient who presented with mild chemosis, proptosis, and abducens palsy of the right eye. In this case, we used an electromagnetic navigation system for direct puncture of the SOV. Angiographic obliteration of the fistula was confirmed and the visual symptoms recovered well after surgery. There were no complications associated with direct puncture of the SOV using the electromagnetic navigation system.

Conclusion: Direct puncture of the SOV to obliterate a dAVF is a possible alternative choice of treatment when the usual transvenous access route fails. To reduce the risk of complications, an electromagnetic navigation system is useful.

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