Novel approaches to access and treatment of cavernous sinus dural arteriovenous fistula (CS-DAVF): case series and review of the literature

Caroticocavernous fistula or cavernous sinus dural arteriovenous fistula (CS-DAVF) has presented various treatment challenges over many years. This paper outlines these challenges in a review of the literature, and attempts to address them by analyzing the anatomical and hemodynamic characteristics of 32 consecutive patients with CS-DAVF treated between 2007 and 2016, in doing so proposing novel strategies for safe access and treatment of CS-DAVF.

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Ocular Signs Caused by Dural Arteriovenous Fistula without Involvement of the Cavernous Sinus: A Case Series with Review of the Literature

American Journal of Neuroradiology ◽

10.3174/ajnr.a4831 ◽

2016 ◽

Vol 37 (10) ◽

pp. 1870-1875 ◽

Cited By ~ 12

Author(s):

T. Robert ◽

D. Botta ◽

R. Blanc ◽

R. Fahed ◽

G. Ciccio ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Dural Arteriovenous Fistula ◽

Case Series ◽

Review Of The Literature ◽

Ocular Signs

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Pontine venous congestion due to dural arteriovenous fistula of the cavernous sinus: Case report and review of the literature

Surgical Neurology International ◽

10.4103/2152-7806.96076 ◽

2012 ◽

Vol 3 (1) ◽

pp. 53 ◽

Cited By ~ 7

Author(s):

Takaaki Miyagishima ◽

Masato Inoue ◽

Hiroyasu Ohno ◽

Kanehiro Hasuo ◽

Tetsuo Hara ◽

...

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Dural Arteriovenous Fistula ◽

Venous Congestion ◽

Review Of The Literature

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Cavernous sinus dural arteriovenous fistula treated by facial vein direct puncture: Case report and review of the literature

Interventional Neuroradiology ◽

10.1177/1591019917693413 ◽

2017 ◽

Vol 23 (3) ◽

pp. 301-306 ◽

Cited By ~ 1

Author(s):

Atsushi Matsumoto ◽

Masanobu Okauchi ◽

Atsushi Shindo ◽

Masahiko Kawanishi ◽

Takashi Tamiya

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Cavernous Sinus ◽

Dural Arteriovenous Fistula ◽

Inferior Petrosal Sinus ◽

Digital Subtraction ◽

Transvenous Embolization ◽

Review Of The Literature ◽

Direct Puncture ◽

Facial Vein

Introduction In case of cavernous sinus dural arteriovenous fistula (CSDAVF), transvenous embolization (TVE) of the cavernous sinus (CS) via the inferior petrosal sinus (IPS) is generally performed. However, various approach routes have been reported when the accessibility of the IPS is challenging. We herein report a case of CSDAVF treated by TVE with direct puncture of the facial vein. Case report A 70-year-old woman who suffered from tinnitus, chemosis, diplopia and bruit was referred to our hospital. Digital subtraction angiography (DSA) demonstrated CSDAVF. We initially attempted to perform TVE via the IPS route; however, we could not guide a catheter to the CS because of an anatomical difficulty. Then, we performed percutaneous direct puncture of the dilated facial vein, and successfully treated the patient. Conclusion When navigating microcatheter to the CS is difficult because of an anatomical difficulty of the IPS, direct puncture of the facial vein is a feasible route.

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A complex cavernous sinus dural arteriovenous fistula secondary to covered stent placement for a traumatic carotid artery–cavernous sinus fistula

Journal of Neurosurgery ◽

10.3171/jns/2008/108/3/0588 ◽

2008 ◽

Vol 108 (3) ◽

pp. 588-590 ◽

Cited By ~ 25

Author(s):

Xian-Li Lv ◽

You-Xiang Li ◽

Ai-Hua Liu ◽

Ming Lv ◽

Peng Jiang ◽

...

Keyword(s):

Carotid Artery ◽

Arteriovenous Fistula ◽

Head Trauma ◽

Cavernous Sinus ◽

Stent Placement ◽

Dural Arteriovenous Fistula ◽

Covered Stent ◽

Caroticocavernous Fistula

✓The authors present the case of a patient with a direct carotid artery–cavernous sinus fistula caused by head trauma in whom a self-expanding covered stent was successfully used to obliterate the fistula. However, at the 9-month follow-up an angiogram revealed a complex caroticocavernous fistula that was completely obliterated with Onyx 18 transarterially.

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