Branch retinal artery occlusion after thyroid artery interventional embolization

Wen, Feng; Liao, Ruyi

doi:10.1016/s0002-9394(99)00471-7

Cited by 8 publications

(3 citation statements)

References 3 publications

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“…Several cases of retinal artery embolization have occurred incidentally during interventional treatment. 1,3,6,8,11,12) Various treatments, including conservative therapy, were used in these cases, but the success rate was very low. The lack of a safe and effective treatment for retinal embolization is reflected by the variety of reported management options for retinal artery occlusion, which are intended either to reduce intraocular pressure or to attempt to dislodge or reduce the embolus.…”

Section: Discussionmentioning

confidence: 99%

Retinal Artery Embolization During Carotid Angioplasty and Carotid Artery Stenting -Case Report-

Yamasaki¹,

Matsubara

Sasaki³

et al. 2009

Neurol. Med. Chir.(Tokyo)

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A 69-year-old man presented with a rare case of retinal artery embolization, which occurred as a complication of carotid angioplasty and carotid artery stenting performed for recurrent cerebral infarction. Magnetic resonance imaging and angiography showed right internal carotid artery stenosis with ulceration. Carotid angioplasty and carotid artery stenting were performed using the distal protection system with the PercuSurge GuardWire. However, just after dilation, the patient complained of ocular pain and blurred vision on the right, which was subsequently diagnosed as retinal artery embolization. Heparin was given for 15 hours after stenting, and aspirin and ticlopidine medication were continued. The patient received hyperbaric oxygen therapy for 1 week. The patient's blurred vision gradually improved, but visual field defect remained. Debris was probably flushed into the external carotid artery, and passed through an anastomosis into the ophthalmic artery, resulting in retinal artery embolization.

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Section: Discussionmentioning

confidence: 99%

Retinal Artery Embolization During Carotid Angioplasty and Carotid Artery Stenting -Case Report-

Yamasaki¹,

Matsubara

Sasaki³

et al. 2009

Neurol. Med. Chir.(Tokyo)

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“…However, an unintentional embolization of retinal arteries, although rare, has been documented as a complication of the embolization of an artery to an intracranial tumor including a meningioma, or of a maxillary artery, or a thyroid artery or following cardiac catheterization [4][5][6][7]. However, occlusion of only a cilioretinal artery has never been reported to be a complication of the embolization of a feeder artery to an intracranial meningioma.…”

Section: Meningioma Polyvinyl Alcoholmentioning

confidence: 99%

Cilioretinal artery occlusions following embolization of an artery to an intracranial meningioma

Kunikata

Tamai

2005

Graefe's Arch Clin Exp Ophthalmo

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“…An unintentional embolization of retinal arteries is rare and has been documented as a complication after embolization of arteries supplying head and neck tumors such as juvenile nasopharyngeal angiofibroma [1], meningioma [2][3][4], embolization of a maxillary artery [5], a thyroid artery [6] or even following cardiac catheterization [7]. In one case, a partial visual field defect occurred in the right eye after occlusion of the right upper branch of the central retinal artery [4].…”

Section: Introductionmentioning

confidence: 99%

Acute visual loss after preoperative embolization of an ethmoidal metastasis

Hufendiek

Finkenzeller

et al. 2012

Int Ophthalmol

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An unintentional embolization of retinal arteries is rare and has been documented as a complication after embolization of arteries supplying head and neck tumors. However, occlusion of the central retinal artery with severe loss of vision has never been reported to be a complication from embolization of tumor-supplying ethmoidal branches of the ophthalmic artery. A 40 year-old male patient with a history of right nephrectomy for renal cell carcinoma underwent preoperative radiological embolization of an ethmoidal metastasis after having experienced a life-threatening sinus bleeding. Repeated probing of the ophthalmic artery with an endovascular microcatheter for particle embolization of the tumor-supplying arteries was performed under anticoagulation with heparin. Postoperatively, a standard ophthalmological examination including extended vascular evaluation by angiography was performed. After extended probing of the ophthalmic artery a marked reduction in its blood flow occurred. Despite post-interventional imaging showing persisting perfusion of the central retinal and ciliary arteries, the patient developed complete loss of vision on this side four days later. At this time fundoscopy and fluorescein angiography revealed a recanalized central artery occlusion, while indocyanin angiography showed infarctions of the choroid. Radiological intervention via the ophthalmic artery can result in complete loss of vision, even after limited and transient obstruction of the vessel.

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Branch retinal artery occlusion after thyroid artery interventional embolization

Cited by 8 publications

References 3 publications

Retinal Artery Embolization During Carotid Angioplasty and Carotid Artery Stenting -Case Report-

Retinal Artery Embolization During Carotid Angioplasty and Carotid Artery Stenting -Case Report-

Cilioretinal artery occlusions following embolization of an artery to an intracranial meningioma

Acute visual loss after preoperative embolization of an ethmoidal metastasis

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