Thrombosis of intraorbital arterio-venous fistula

Abstract

A 65-year-old male patient presented with a rare arterio-venous fistula (AFV). The symptoms included congestion, decreased visual acuity, and proptosis. Further investigation revealed a non-traumatic intra orbital AFV with ophthalmic vein thrombosis. The management strategy was craniotomy and the prescription of anticoagulants. The patient recovered 2 months after surgery demonstrating successful resolution of his presenting symptoms and an alternative approach to complicated cases of embolization.

Endoscopic-assisted Orbitotomy for Obliteration of Orbital Arteriovenous Fistula Refractory to Endovascular Techniques

“…6 Because these lesions are rare, the therapeutic approach to AVFs remains controversial. AVF obliteration has been achieved by conservative management, 7 transcranial surgery, 8 and via endovascular techniques (EVT), including trans-arterial 9 and trans-venous approaches. 3 Although EVT is generally the first choice of intervention, it may occasionally fail, as in the present case.…”