title: Contralateral transvenous approach and embolization with 360° guglielmi detachable coils for the treatment of cavernous sinus dural fistula.
abstract: carotid-cavernous fistulas are spontaneours acquired connections between the carotid artery and the cavernous cavernous sinus, being classified as direct or indirect; being usually diagnosed in postmenopausal women, but are also associated with other pathoogies such as pregnancy, sinusitis and cavernous sinus thrombosis. They are clinically characterized by ophthalmological symptoms and pulsatile tinnitus. A 51-year-old woman who started her current condition about 4 years ago with pulsatile tinnitus, to which were added progressively: Pain, conjunctival erythema, right eye proptosis and the occasional headache of moderate intensity. Caotid-cavernous fistula wes diagnosed, for the technical difficulty inherent in the case was made a contralateral transvenous approach and embolization with 360° GDG coils, with successful evolution of the patient. The endovascular management of these lesions is currently possible with excellent results.
authors.affiliation: Department of Neuroradiology and Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Tlalpan, México, Mexico.
authors.forename: Marco
authors.initials: M
authors.lastname: Zenteno
authors.affiliation: Centro Medico La Raza, IMSS, Mexico.
authors.forename: Santos-Franco
authors.initials: SF
authors.lastname: Jorge
authors.affiliation: Universidad de Cartagena, Cartagena de Indias, Colombia.
authors.forename: Moscote-Salazar Luis
authors.initials: MS
authors.lastname: Rafael
authors.affiliation: Universidad de Cartagena, Cartagena de Indias, Colombia.
authors.forename: AlvisMiranda Hernando
authors.initials: AH
authors.lastname: Raphael
authors.affiliation: Universidad de Cartagena, Cartagena de Indias, Colombia.
authors.forename: Alcala-Cerra
authors.initials: AC
authors.lastname: Gabriel
authors.affiliation: Department of Neurosurgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Stroke Unit, Hospital Ángeles del Pedregal, Mexico.
authors.forename: Lee
authors.initials: L
authors.lastname: Ángel
keywords: Cavernous sinus; dural fistula; neurointerventional therapy