title: Transvenous treatment of spontaneous dural carotid-cavernous fistulas using a combination of detachable coils and Onyx.
abstract: 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.
authors.affiliation: 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.
authors.forename: S
authors.initials: S
authors.lastname: Suzuki
authors.forename: D W
authors.initials: DW
authors.lastname: Lee
authors.forename: R
authors.initials: R
authors.lastname: Jahan
authors.forename: G R
authors.initials: GR
authors.lastname: Duckwiler
authors.forename: F
authors.initials: F
authors.lastname: Viñuela
mesh_terms: 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
chemical_list: C450660:Onyx copolymer; D011145:Polyvinyls; D004121:Dimethyl Sulfoxide