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

2017 ◽  
Vol 23 (3) ◽  
pp. 301-306 ◽  
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.

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

2012 ◽  
Vol 3 (1) ◽  
pp. 53 ◽  
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

scholarly journals Cavernous Sinus Dural Arteriovenous Fistula Unresponsive to Transvenous Embolization Via the Inferior Petrosal Sinus

2005 ◽  
Vol 33 (3) ◽  
pp. 180-186
Author(s):  
Masato OHKI ◽  
Takamasa KAYAMA ◽  
Yasuaki KOKUBO ◽  
Shinjiro SAITO ◽  
Rei KONDO ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Cavernous Sinus ◽  
Dural Arteriovenous Fistula ◽  
Inferior Petrosal Sinus ◽  
Transvenous Embolization

scholarly journals A rare brainstem hemorrhage due to incomplete transvenous embolization of the cavernous sinus dural arteriovenous fistula: A case report

2021 ◽  
Vol 16 (9) ◽  
pp. 2526-2529
Author(s):  
Yoshiki Mochizuki ◽  
Satoshi Iihoshi ◽  
Eisuke Tsukagoshi ◽  
Shigen Kasakura ◽  
Shinya Kohyama ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Cavernous Sinus ◽  
Dural Arteriovenous Fistula ◽  
Transvenous Embolization

scholarly journals Resolution of Clinical Symptoms after Reopening of an Occluded Inferior Petrosal Sinus in a Patient with a Cavernous Sinus Dural Arteriovenous Fistula

2013 ◽  
Vol 19 (1) ◽  
pp. 78-82
Author(s):  
A. Kojima ◽  
S. Onozuka ◽  
Y. Kinoshita
Keyword(s):  
Arteriovenous Fistula ◽  
Cavernous Sinus ◽  
Dural Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
Vascular Complications ◽  
Inferior Petrosal Sinus ◽  
Transvenous Embolization ◽  
Shunt Flow ◽  
Flow Through ◽  
One Year

We describe a rare case with a cavernous sinus (CS) dural arteriovenous fistula (DAVF) in which the clinical symptoms disappeared after the patient underwent reopening of an occluded inferior petrosal sinus (IPS). A 66-year-old woman presented with increased intraocular pressure, chemosis, and proptosis on the left side. Angiography demonstrated a left CS DAVF supplied by the dural branches of bilateral internal carotid arteries. The shunt flow was directed to the superior and inferior ophthalmic veins, while the bilateral IPSs were not opacified. Accordingly, a transvenous embolization of the fistula was attempted. Although the microcatheter was navigated to the cavernous sinus through the occluded left IPS, obliteration of the fistula was unsuccessful because of the failure of superselective catheterization at the fistulous point. However, the final image demonstrated the development of an antegrade shunt flow through the left IPS to the internal jugular vein and disappearance of the retrograde reflux to the superior and inferior ophthalmic veins. The patient's clinical symptoms immediately resolved after the operation, and the symptoms have not recurred during a one-year follow-up period. Inappropriate transvenous embolization of CS DAVFs can result in vascular complications arising from the unintentional redistribution of shunt flow. The present case illustrates that the disappearance of retrograde shunt flow to the ophthalmic veins after reopening of the occluded IPS may be sufficient if a superselective approach fails or is anticipated to result only in an incomplete embolization of the fistulous point.

scholarly journals Micrus Coil Embolization of a Cavernous Sinus Dural Arteriovenous Fistula Through the Facial Vein: Case Report

2010 ◽  
Vol 38 (5) ◽  
pp. 353-357 ◽  
Author(s):  
Toshinori MATSUZAKI ◽  
Takeshi SUMA ◽  
Tadashi SHIBUYA ◽  
Shin NAKAMURA ◽  
Teruyasu HIRAYAMA ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Cavernous Sinus ◽  
Coil Embolization ◽  
Dural Arteriovenous Fistula ◽  
Facial Vein
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