The treatment of a dural carotid cavernous fistula (CCF) using Onyx via a transorbital approach: a technical note.
We report the successful case of embolisation of a Barrow D (White et al. in Am J Neuroradiol 28:1415-1417, 2007) dural carotid cavernous fistula (CCF) with bilateral external carotid artery and internal carotid arterial supply, using a direct percutaneous transorbital approach with the embolic agent Onyx. In particular, we highlight the properties of Onyx which make it suitable to treat the multi-compartmental nature of CCFs. The patient developed transient complications which may be related to the volume of embolic agent used, and we discuss this point further. This is still a developing technique, and we present our case as a technical note to aid those contemplating embolisation via a transorbital approach with Onyx.
Neuroradiology Department, Walsgrave Hospital, University Hospital Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK. h_mehrzad@hotmail.com
Homoyoon
H
Mehrzad
Kushnood
K
Alam
Adam
A
Rennie
D002343:Carotid Artery, Internal / Q000002:abnormalities / Q000000981:diagnostic imaging; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D002426:Cavernous Sinus / Q000002:abnormalities / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D004121:Dimethyl Sulfoxide / Q000008:administration & dosage / Q000627:therapeutic use*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011145:Polyvinyls / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome
C450660:Onyx copolymer; D011145:Polyvinyls; D004121:Dimethyl Sulfoxide