TY - JOUR T1 - Blind endovascular catheterization and direct access of an occluded superior ophthalmic vein for treatment of carotid cavernous fistula JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e30 LP - e30 DO - 10.1136/neurintsurg-2013-010704.rep VL - 6 IS - 4 AU - Ali Alaraj AU - Bobby Kim AU - Gerald Oh AU - Victor Aletich Y1 - 2014/05/01 UR - http://jnis.bmj.com/content/6/4/e30.abstract N2 - We describe a case of an elderly patient who presented with right-sided ophthalmoplegia, proptosis, chemosis, and increased intraocular pressure. An angiogram showed feeding vessels from the bilateral internal and external carotid arteries. Our initial attempt to blindly probe the inferior petrosal sinus was unsuccessful. This was followed by a right anterior orbitotomy exposing the superior ophthalmic vein which was directly cannulated with an 18 gauge angiocatheter. However, a proximal third of the superior ophthalmic vein within the orbit which was thrombosed was probed blindly. The thrombosed vein was cannulated with a microcatheter to obtain coil embolization of the carotid cavernous fistula. The implications of the procedure are discussed, given that, to our knowledge, such an endeavor has never been performed. ER -