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

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引用する場合も本公開記事を引用してください。

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

著者情報

キーワード: dural arteriovenous fistula, cavernous sinus, direct puncture, superior ophthalmic vein, electromagnetic navigation system

ジャーナルオープンアクセス早期公開

論文ID: tn.2020-0067

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

この記事には本公開記事があります。

The final version of this article is now available: Vol. 15 (2021), No. 1 pp. 64-70

詳細

抄録

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.

責任著者(Corresponding author)

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