Diagnosis and endovascular therapy of vascular lesions in the cavernous sinus.
One hundred and twenty-eight lesions of the cavernous sinus were diagnosed and treated by endovascular embolization alone or combined with postembolization surgery. All patients presented with acute or subacute cavernous sinus syndrome. A complete angiographic evaluation included bilateral internal and external carotid and vertebral angiography. A total of 88 carotid-cavernous (c-c) fistulae (68 traumatic and 20 spontaneous) and 40 giant aneurysms were demonstrated. A complete anatomic cure or satisfactory clinical improvement was seen in 67 of 68 traumatic fistulae, in 14 of 20 spontaneous c-c fistulae and in 38 of 40 giant intracavernous aneurysms. An overall 15 per cent immediate and 2.7 per cent long-term morbidity with one death was observed. The technical and clinical complications involving endovascular therapy of each specific intracavernous vascular lesion are analyzed.
Lylyk
P
P
Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London, Canada.
Viñuela
F
F
Campos
J
J
Fox
A J
AJ
Pelz
D M
DM
Debrun
G
G
Drake
C G
CG
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis* / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000628:therapy; D002426:Cavernous Sinus; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male