Walsh & Hoyt: Treatment

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Identifier wh_ch42_p2278
Title Walsh & Hoyt: Treatment
Creator Neil R. Miller, MD
Affiliation Professor of Ophthalmology, Johns Hopkins University
Subject Vascular Diseases; Carotid-Cavernous Sinus Fistula; Treatment
Description The optimum treatment of a direct CCF is closure of the abnormal arteriovenous communication with preservation of internal carotid artery patency. A variety of procedures can be used to close the fistula, but many (e.g., ligation of the internal carotid artery, occlusion of the fistula using the nondetachable balloon tip of a Fogarty catheter, trapping of the fistula by occlusion of the artery both proximal and distal to the fistula) also occlude the internal carotid artery. When the artery is occluded, the patient may suffer extensive neurologic deficits from hypoxic damage to the ipsilateral cerebral hemisphere. In addition, occlusion of the internal carotid artery may so reduce arterial blood flow to the eye that the patient develops hypotony, proliferative retinopathy, neovascular glaucoma, blindness, and even devastating ischemic necrosis of the eyelids and orbital contents
Date 2005
Language eng
Format application/pdf
Type Text
Source Walsh and Hoyt's Clinical Neuro-Ophthalmology, 6th Edition
Relation is Part of Walsh and Hoyt's Clinical Neuro-Ophthalmology Walsh and Hoyt's Clinical Neuro-Ophthalmology
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Wolters Kluwer Health, Philadelphia
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2005. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6k67sj6
Setname ehsl_novel_whts
ID 186165
Reference URL https://collections.lib.utah.edu/ark:/87278/s6k67sj6
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