scholarly journals CATHETER NAVIGATION THROUGH THE ABERRANT INFERIOR PETROSAL SINUS FOR EVT OF CAVERNOUS SINUS FISTULAS

2020 ◽  
Author(s):  
Rasmus Holmboe Dahl ◽  
Goetz Benndorf
Keyword(s):  
Cavernous Sinus ◽  
Inferior Petrosal Sinus ◽  
Catheter Navigation

scholarly journals Cavernous Sinus Dural Fistula Treated by Transvenous Facial Vein Approach

2004 ◽  
Vol 10 (1) ◽  
pp. 69-74 ◽  
Author(s):  
V. Prochazka ◽  
V. Cizek ◽  
R. Kacirova
Keyword(s):  
Cavernous Sinus ◽  
Treatment Approach ◽  
Inferior Petrosal Sinus ◽  
Digital Angiography ◽  
Venous Outflow ◽  
Type D ◽  
Facial Vein ◽  
Embolization Treatment ◽  
Catheter Navigation ◽  
Fistula Site

We report on the endovascular treatment of the spontaneous indirect dural carotid cavernous sinus type D fistula in a 60-year-old woman, in whom ipsilateral facial, angular and superior ophthalmic veins catheterization was performed to get access to the fistula site for embolization treatment. Approach via the facial vein is helpful after inferior petrosal sinus treatment failure. Although this technique requires caution in the angular vein region it allows a safe and effective treatment of these lesions. 3D rotational digital angiography can obtain more information of the angioarchitecture of the cavernous plexus and venous outflow for the catheter navigation.

scholarly journals Lateralization of inferior petrosal sinus sampling in Cushing's disease correlates with cavernous sinus venous drainage patterns, but not tumor lateralization

Heliyon ◽  
2020 ◽  
Vol 6 (10) ◽  
pp. e05299
Author(s):  
Mohammad Ghorbani ◽  
Hamideh Akbari ◽  
Christoph J. Griessenauer ◽  
Christoph Wipplinger ◽  
Alireza Dastmalchi ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Cushing’S Disease ◽  
Venous Drainage ◽  
Cushing's Disease ◽  
Inferior Petrosal Sinus ◽  
Inferior Petrosal Sinus Sampling ◽  
Drainage Patterns

scholarly journals An algorithm to improve lateralization accuracy of inferior petrosal sinus sampling: procedural nuances for complex patterns of venous drainage. Patient series

2021 ◽  
Vol 2 (13) ◽  
Author(s):  
Abhijith V. Matur ◽  
Alaina M. Body ◽  
Mark D. Johnson ◽  
Matthew S. Smith ◽  
Ruchi Bhabhra ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Imaging Finding ◽  
Case Series ◽  
Optimal Sampling ◽  
Inferior Petrosal Sinus ◽  
Retrospective Case ◽  
Inferior Petrosal Sinus Sampling ◽  
Drainage Patterns ◽  
Sinus Drainage ◽  
Tumor Laterality

BACKGROUND Inferior petrosal sinus sampling (IPSS) is a useful technique in the diagnosis of Cushing’s disease (CD) when the imaging finding is negative or equivocal. Different authors have reported considerable variability in the ability to determine tumor laterality with IPSS. Here the authors present a retrospective case series of 7 patients who underwent IPSS using a systematic algorithm to improve lateralization accuracy by identifying optimal sampling sites on the basis of individual cavernous sinus drainage patterns in each patient. OBSERVATIONS Of the 7 patients identified, 6 were determined to have CD and subsequently underwent surgery. IPSS was accurate in all patients from whom laterality was predicted. Arterial and venous angiography were used to define cavernous sinus drainage patterns and determine optimal sampling sites. All patients who underwent surgery achieved hormonal cure. LESSONS All IPSS predictions of lateralization were correct when available, and all patients who underwent surgery achieved hormonal cure. Advances in angiographic techniques for identification of the site of primary drainage from the cavernous sinus and subsequent optimization of microcatheter placement may improve the ability to predict tumor laterality.

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

A new transvenous approach to the carotid-cavernous sinus via the inferior petrooccipital vein

2012 ◽  
Vol 116 (3) ◽  
pp. 581-587 ◽  
Author(s):  
Akira Kurata ◽  
Sachio Suzuki ◽  
Kazuhisa Iwamoto ◽  
Kuniaki Nakahara ◽  
Madoka Inukai ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Venous Drainage ◽  
Inferior Petrosal Sinus ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Cushing Disease ◽  
Cortical Vein ◽  
The Third ◽  
Cortical Venous Drainage ◽  
Transvenous Approach

Object The transvenous approach via the inferior petrosal sinus (IPS) is commonly used as the most appropriate for carotid-cavernous fistula (CCF) or cavernous sinus sampling. However, sometimes the IPS is not accessible because of anatomical problems and/or complications, therefore an alternative route is needed. In this paper, the authors present and discuss the utility of a transvenous approach to the cavernous sinus via the inferior petrooccipital vein. Methods Four patients, 3 with dural CCFs and the other with Cushing disease, in whom endovascular surgical attempts failed using a conventional venous approach via the IPS, underwent a transvenous approach to the cavernous sinus via the inferior petrooccipital vein (IPOV). One dural CCF case had only cortical venous drainage, the second CCF also mainly drained into the cortical vein with slight inflow into the superior ophthalmic vein and inferior ophthalmic vein, and the third demonstrated drainage into the superior and inferior ophthalmic veins and IPOV. Results In all cases, the cavernous sinus could be accessed successfully via this route and without complications. Conclusions The transvenous approach to the cavernous sinus via the IPOV should be considered as an alternative in cases when use of the IPS is precluded by an anatomical problem and there are no other suitable venous approach routes.

scholarly journals Puncture of the Superficial Sylvian Vein for Embolisation of Cavernous Dural Arteriovenous Fistula

1999 ◽  
Vol 5 (2) ◽  
pp. 167-170 ◽  
Author(s):  
G. Benndorf ◽  
T.N. Lehmann ◽  
H.P. Molsen ◽  
W. Lanksch ◽  
R. Felix
Keyword(s):  
Cavernous Sinus ◽  
Venous Drainage ◽  
Direct Puncture ◽  
Arteriovenous Fistulas ◽  
Surgical Exposure ◽  
Dural Arteriovenous Fistulas ◽  
Femoral Route ◽  
Endovascular Approach ◽  
Catheter Navigation ◽  
Cortical Venous Drainage

Dural arteriovenous fistulas (DAVF's) of the cavernous sinus are curable by endovascular means in the vast majority of cases. Both transarterial and transvenous approaches by femoral route can be used for closure. In rare cases with unsuitable anatomy or angioarchitecture, an endovascular approach is proposed by open surgical exposure of a major venous outflow, e.g. the superior ophthalmic vein. We report on a case of unsuccessful attempts at transarterial and transvenous catheter navigation through traditional endovascular routes, where surgical exposure of the major cortical venous drainage was necessary. A direct puncture of the sylvian vein allowed placement of a microcatheter in the cavernous sinus and occlusion of the fistula by coils.

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