Endovascular treatment of a cavernous sinus dural arteriovenous fistula by transvenous embolisation through the superior ophthalmic vein via cannulation of a frontal vein.
We describe a new approach for transvenous embolisation of cavernous sinus dural arteriovenous fistulae through the superior ophthalmic vein (SOV), i.e., via percutaneous cannulation of a frontal vein. Modern neurointerventional angiographic materials make it possible to reach the SOV in this way without puncturing it in the orbit or a surgical exposure. Orbital phlebography should still be in the repertoire of interventional neuroradiology units in large centres.
Venturi
C
C
Unit of Diagnostic and Therapeutic Neuroradiology, Policlinico "Le Scotte", Azienda Ospedaliera Universitaria Senese, Viale Mario Bracci 16, 53100 Siena, Italy. neurorad@ao-siena.toscana.it
Bracco
S
S
Cerase
A
A
Gennari
P
P
Lorè
F
F
Polito
E
E
Casasco
A E
AE
D000368:Aged; D002426:Cavernous Sinus / Q000002:abnormalities*; D020785:Central Nervous System Vascular Malformations / Q000628:therapy*; D002550:Cerebral Veins / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010690:Phlebography; D011677:Punctures / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods; D016748:Venous Cutdown / Q000379:methods