Therapeutic embolization of cavernous sinus dural arteriovenous fistulas via transvenous approach.
- Author:
Kai HOU
1
;
Qi LUO
;
Qiang CHEN
;
Honglei WANG
;
Yinan LUO
;
Changkun WANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Cavernous Sinus; abnormalities; Central Nervous System Vascular Malformations; diagnostic imaging; therapy; Cerebral Angiography; Embolization, Therapeutic; methods; Female; Humans; Middle Aged
- From: Chinese Medical Journal 2003;116(5):661-664
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy.
METHODSEight patients with symptomatic CSdAVFs were treated by endovascular embolization with platinum coils, via the inferior petrosal sinus (IPS) in 6 patients, and via the Sylvian vein after surgical exposure in other 2 patients.
RESULTSComplete angiographic resolution of the fistula was obtained in six patients immediately after the procedures, and a complete resolution of symptoms and signs was achieved in all patients. The residual fistulas in two patients disappeared completely in the follow-up angiography.
CONCLUSIONTransvenous embolization is a useful and safe approach in the management of CSdAVFs.
