Neurointervention.  2011 Aug;6(2):100-103. 10.5469/neuroint.2011.6.2.100.

Transvenous Embolization of Cavernous Sinus Dural Arteriovenous Fistula Using the Direct Superior Ophthalmic Vein Approach: A Case Report

• Ha JG
• Jeong HW
• In HS
• Choi SJ

• KMID: 1783991
• DOI: http://doi.org/10.5469/neuroint.2011.6.2.100

Abstract

Transvenous coil embolization has been successfully applied for the treatment of cavernous sinus dural arteriovenous fistula (CSDAVF). Unfortunately, the technique cannot be applied in cases of poor or absent inferior petrosal sinus or facial venous access route to the fistula. Recently, we experienced a successful embolization using direct superior ophthalmic vein approach in cases of CSDAVF which were no opacification of inferior petrosal sinus or facial vein.

Keyword

Cavernous sinus; Carotid-Cavernous sinus fistula; Veins; Endovascular techniques

MeSH Terms

Carotid-Cavernous Sinus Fistula
Cavernous Sinus
Caves
Central Nervous System Vascular Malformations
Endovascular Procedures
Fistula
Veins

Figure

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  Fig. 1 Initial left external carotid angiogram shows left indirect cavernous sinus DAVF draining to left superior ophthalmic vein. AP (A) and lateral (B) view

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  Fig. 2 Performed continuous saline flushing through connected 3-way.

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  Fig. 3 Yellow sheath (4Fr) that was included in micropuncture set. (Cook; Bloomington, IN, U.S.A.)

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  Fig. 4 Road map shows transvenous coil embolization through left superior ophthalmic vein.

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  Fig. 5 Immediate post-embolization left common carotid angiogram shows complete occlusion of left cavernous sinus DAVF. AP (A) and lateral (B) view.

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