Use of carotid compression in a patient with arteriovenous malformation

Orbit. 2013 Feb;32(1):63-6. doi: 10.3109/01676830.2012.747210.

Abstract

We report a case of a patient with a high flow arteriovenous malformation (AVM)i n the orbit, who developed a severe compartment syndrome, and was successfully treated with manual carotid compressions. The patient suffered a progressive proptosis, restriction of ocular motility and decreased of the visual acuity of the right eye. Embolization had a high risk of serious complications due to fistula location, so an alternative treatment consisting in carotid compressions was prescribed. Manual carotid compression is a non-invasive alternative technique to treat AVMs in patients with high risk of embolization episodes.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Malformations / complications*
  • Arteriovenous Malformations / diagnostic imaging
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / etiology
  • Carotid Artery Diseases / therapy*
  • Cerebral Angiography
  • Compartment Syndromes / diagnostic imaging
  • Compartment Syndromes / etiology
  • Compartment Syndromes / therapy*
  • Exophthalmos / etiology
  • Humans
  • Male
  • Ocular Motility Disorders / etiology
  • Pressure*
  • Tomography, X-Ray Computed
  • Vision Disorders / etiology
  • Visual Acuity / physiology