Transvenous treatment of spontaneous dural carotid-cavernous fistulas using a combination of detachable coils and Onyx.
Three patients with spontaneous dural carotid-cavernous fistulas were treated by using a combination of detachable coils and Onyx liquid embolic agent. Cavernous sinus was accessed via the superior ophthalmic vein or inferior petrous sinus approach. In all cases, a complete angiographic closure of the fistulas was achieved with full recovery from neuro-ophthalmologic symptoms. This report suggests that the controlled and excellent penetration of Onyx is superb for blocking the intricate communication of dural carotid-cavernous fistulas.
Suzuki
S
S
Division of Interventional Neuroradiology, Department of Radiological Sciences, UCLA School of Medicine, University of California-Los Angeles, 10833 LeConte Avenue, Los Angeles, CA 90095, USA.
Lee
D W
DW
Jahan
R
R
Duckwiler
G R
GR
Viñuela
F
F
D000368:Aged; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004121:Dimethyl Sulfoxide / Q000008:administration & dosage*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011145:Polyvinyls / Q000008:administration & dosage*; D015641:Radiography, Interventional
C450660:Onyx copolymer; D011145:Polyvinyls; D004121:Dimethyl Sulfoxide