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Embolisation of indirect carotid-cavernous sinus dural arterio-venous fistulae using the direct superior ophthalmic vein approach

Authors
 Lee JW  ;  Kim DJ  ;  Jung JY  ;  Kim SH  ;  Huh SK  ;  Suh SH  ;  Kim DI. 
Citation
 ACTA NEUROCHIRURGICA, Vol.150(6) : 557-561, 2008 
Journal Title
 ACTA NEUROCHIRURGICA 
ISSN
 0001-6268 
Issue Date
2008
MeSH
Adult ; Aged ; Carotid-Cavernous Sinus Fistula/diagnosis ; Carotid-Cavernous Sinus Fistula/therapy* ; Cerebral Angiography ; Embolization, Therapeutic/methods* ; Eye/blood supply ; Female ; Follow-Up Studies ; Humans ; Magnetic Resonance Angiography ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Veins
Keywords
Indirect ; carotid-cavernous sinus ; dural arteriovenous fistula ; embolisation ; direct superior ophthalmic vein approach
Abstract
Indirect carotid-cavernous sinus dural arterio-venous fistulae (cDAVF) can be treated by transarterial and/or transvenous embolisation. This study evaluated patients with cDAVF who underwent transvenous embolisation using the direct superior ophthalmic vein (SOV) approach. Between January 2004 and October 2006, eight cDAVF in seven patients were embolised using direct surgical exposure of the SOV when access to the cDAVF via transarterial or transfemoral venous routes was not feasible. Medical records and imaging studies were retrospectively reviewed. The seven patients consisted of four females and three males from 43 to 65-year-old (mean age, 54.4 years). Six cDAVF lesions were located on the left side and two on the right. All fistulae were successfully embolised and showed clinical improvement. One patient presented after treatment with transient venous congestion on the brain stem, which was relieved by osmotic diuretics and steroids. Direct surgical exposure of the SOV for transvenous embolisation of cDAVF can be effective if the facial vein, inferior petrosal sinus, and internal jugular vein are thrombosed. This approach is easy, safe, and effective when performed by a multidisciplinary team.
Full Text
http://link.springer.com/article/10.1007/s00701-008-1573-2
DOI
10.1007/s00701-008-1573-2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Sun Ho(김선호) ORCID logo https://orcid.org/0000-0003-0970-3848
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Lee, Jae Whan(이재환)
Huh, Seung Kon(허승곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106180
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