Transvenous embolization with a combination of detachable coils and Onyx for a complicated cavernous dural arteriovenous fistula

This 63-year-old man presented with a right temporoparietal cortical infarction. A dural arteriovenous fistula involving the right transverse sinus was diagnosed on cerebral angiography. Transvenous embolization using detachable coils was performed; however, postembolization angiograms demonstrated retrograde filling of a cortical draining vein that was not seen on initial angiography. The patient subsequently developed a cerebral abscess in the region of the previous cortical infarction 2 months after the embolization. The abscess was successfully treated with drainage and antibiotic therapy. The authors report this case to illustrate an unusual complication associated with this procedure and the possible contribution of the cortical draining vein in the pathogenesis of the cerebral abscess.

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Dural Arteriovenous Fistulas: Unusual Access Routes in the Elderly

Interventional Neuroradiology ◽

10.1177/159101990501100411 ◽

2005 ◽

Vol 11 (4) ◽

pp. 377-381 ◽

Cited By ~ 1

Author(s):

G. Andrade ◽

R. Marques ◽

N. Brito Pires ◽

C. Abath

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Sinus Thrombosis ◽

The Elderly ◽

Venous Access ◽

Transvenous Embolization ◽

Superior Ophthalmic Vein ◽

Arteriovenous Fistulas ◽

Dural Arteriovenous Fistulas ◽

Detachable Coils

Transvenous embolization is effective in the treatment of an intracranial dural arteriovenous fistula (DAVF). Retrograde venous access to the fistula may be limited by associated sinus thrombosis, as in the two cases here reported. Unusual curative access routes were performed: direct superior ophthalmic vein puncture and through a small craniectomy, packing the sinus with detachable coils. When traditional routes proved impossible, unusual access routes must be devised.

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Transvenous Embolization in Patients with Dural Arteriovenous Fistula

Journal of the Korean Radiological Society ◽

10.3348/jkrs.2005.53.4.245 ◽

2005 ◽

Vol 53 (4) ◽

pp. 245

Author(s):

Eun Ju Lee ◽

Woong Yoon ◽

Jeong Jin Seo ◽

Sang Soo Shin ◽

Hyo Soon Lim ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Transvenous Embolization

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Transvenous embolization of cavernous sinus dural arteriovenous fistula through the angiographically occlusive superior ophthalmic vein

Asian Journal of Neurosurgery ◽

10.4103/ajns.ajns_71_21 ◽

2021 ◽

Vol 16 (3) ◽

pp. 610

Author(s):

Shigeta Moriya ◽

Shingo Maeda ◽

Motoharu Hayakawa ◽

Kiyonori Kuwahara

Keyword(s):

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Dural Arteriovenous Fistula ◽

Transvenous Embolization ◽

Superior Ophthalmic Vein

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Transvenous embolization of a dural arteriovenous fistula of the laterocavernous sinus through the pterygoid plexus

Neuroradiology ◽

10.1007/s00234-007-0245-x ◽

2007 ◽

Vol 49 (8) ◽

pp. 665-668 ◽

Cited By ~ 10

Author(s):

Diego San Millán Ruíz ◽

Mayumi Oka ◽

Jean H. D. Fasel ◽

Richard Clatterbuck ◽

Philippe Gailloud ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Transvenous Embolization ◽

Pterygoid Plexus

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Transvenous embolization of cavernous dural arteriovenous fistula: report of 28 cases

Chinese Medical Journal ◽

10.1097/00029330-200712020-00014 ◽

2007 ◽

Vol 120 (24) ◽

pp. 2229-2231 ◽

Cited By ~ 9

Author(s):

Hong-wei HE ◽

Chu-han JIANG ◽

Zhong-xue WU ◽

You-xiang LI ◽

Zhong-cheng WANG

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Transvenous Embolization

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Cerebral abscess as an unusual complication of coil embolization in a dural arteriovenous fistula

Journal of Neurosurgery ◽

10.3171/jns.1997.87.1.0109 ◽

1997 ◽

Vol 87 (1) ◽

pp. 109-112 ◽

Cited By ~ 21

Author(s):

Adnan A. Rahman Zurin ◽

Satoshi Ushikoshi ◽

Kiyohiro Houkin ◽

Yoichi Kikuchi ◽

Hiroshi Abe ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Transverse Sinus ◽

Cerebral Abscess ◽

Unusual Complication ◽

Content Type ◽

Cortical Infarction ◽

Retrograde Filling ◽

Detachable Coils ◽

The Right

This 63-year-old man presented with a right temporoparietal cortical infarction. A dural arteriovenous fistula involving the right transverse sinus was diagnosed on cerebral angiography. Transvenous embolization using detachable coils was performed; however, postembolization angiograms demonstrated retrograde filling of a cortical draining vein that was not seen on initial angiography. The patient subsequently developed a cerebral abscess in the region of the previous cortical infarction 2 months after the embolization. The abscess was successfully treated with drainage and antibiotic therapy. The authors report this case to illustrate an unusual complication associated with this procedure and the possible contribution of the cortical draining vein in the pathogenesis of the cerebral abscess.

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Transvenous Embolization for Dural Arteriovenous Shunt of the Cavernous Sinus

Interventional Neuroradiology ◽

10.1177/159101990701300406 ◽

2007 ◽

Vol 13 (4) ◽

pp. 353-358 ◽

Cited By ~ 8

Author(s):

S. Kato ◽

H. Ishihara ◽

H. Nakayama ◽

M. Fujii ◽

H. Fujisawa ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Cranial Nerve ◽

Dural Arteriovenous Fistula ◽

Clinical Symptoms ◽

Transarterial Embolization ◽

Arteriovenous Shunt ◽

Complete Disappearance ◽

Transvenous Embolization ◽

Arteriovenous Shunts

We describe the treatment and follow-up clinical symptoms and angiographic results in patients with dural arteriovenous fistula of the cavernous sinus treated by transvenous embolization (TVE). We have treated eight cases of dural arteriovenous fistula of the cavernous sinus by multi-staged TVE in two cases and TVE with sinus packing in six and three of six cases were treated with a combination of transarterial embolization. Multi-staged TVE was performed by occlusion from dangerous drainage veins to the cavernous sinus on several occasions. Angiographical results showed disappearance or reduction of the arteriovenous shunt in all cases. Six patients presented with ophthalmic symptoms and two had tinnitus. Six cases had complete disappearance of clinical symptoms after treatment. There was a deterioration of ocular movement in one patient treated by TVE with sinus packing. Multi-staged TVE was performed to reduce the coil volume for the packing of the cavernous sinus in two cases without cranial nerve palsy. Embolization, especially multi-staged TVE, was considered a good treatment to occlude arteriovenous shunts at the cavernous sinus without cranial nerve complications.

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