Therapeutic embolization of cavernous sinus dural arteriovenous fistulas via transvenous approach.
OBJECTIVE
To describe the transvenous catheterization technique for the treatment of cavernous sinus dural arteriovenous fistulas (CSdAVFs), including its indications, complications and efficacy.


METHODS
Eight 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.


RESULTS
Complete 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.


CONCLUSIONS
Transvenous embolization is a useful and safe approach in the management of CSdAVFs.
Hou
Kai
K
Department of Neurosurgery, First Affiliated Hospital, Jilin University, Changchun 130021, China.
Luo
Qi
Q
Chen
Qiang
Q
Wang
Honglei
H
Luo
Yinan
Y
Wang
Changkun
C
D000368:Aged; D000369:Aged, 80 and over; D002426:Cavernous Sinus / Q000002:abnormalities*; D020785:Central Nervous System Vascular Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged