title: Endovascular occlusion of dural cavernous fistulas through a superior ophthalmic vein approach.
abstract: Dural cavernous fistulas are low-flow vascular malformations with usually benign clinical course and a high rate of spontaneous resolution. Cases with symptom progression must be treated with an endovascular approach by arterial or venous route. We report 30 patients with dural cavernous fistulas treated by coil embolization using surgical exposure and retrograde catheterization of the superior ophthalmic vein (SOV). The procedure resulted in closure of the fistula without other endovascular treatments in all 30 patients and clinical remission or improvement in 20 and eight patients, respectively. Embolization via a SOV approach is a safe and easy endovascular procedure, particularly indicated for dural cavernous fistulas with exclusive or prevalent internal carotid artery feeders and anterior venous drainage.
authors.affiliation: Department of Diagnostic Imaging, University of Naples; Naples, Italy - frabriga@unina.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Briganti
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Caranci
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Leone
authors.forename: Manuela
authors.initials: M
authors.lastname: Napoli
authors.forename: Domenico
authors.initials: D
authors.lastname: Cicala
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Briganti
authors.forename: Fausto
authors.initials: F
authors.lastname: Tranfa
authors.forename: Giulio
authors.initials: G
authors.lastname: Bonavolontà
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D020785:Central Nervous System Vascular Malformations / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005123:Eye / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome
keywords: cavernous sinus; dural cavernous fistula; embolization; superior ophthalmic vein