Transvenous Treatment of Spontaneous Dural Carotid-Cavernous Fistulas Using a Combination of Detachable Coils and Onyx

Three patients with spontaneous dural carotid-cavernous fistulas were treated by using a combination of detachable coils and Onyx liquid embolic agent. Cavernous sinus was accessed via the superior ophthalmic vein or inferior petrous sinus approach. In all cases, a complete angiographic closure of t...

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Bibliographic Details
Published in:American Journal of Neuroradiology 2006-06, Vol.27 (6), p.1346-1349
Main Authors: Suzuki, S, Lee, D.W, Jahan, R, Duckwiler, G.R, Vinuela, F
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carotid-Cavernous Sinus Fistula - diagnostic imaging
Carotid-Cavernous Sinus Fistula - therapy
Cerebral Angiography
Dimethyl Sulfoxide - administration & dosage
Electrodiagnosis. Electric activity recording
Embolization, Therapeutic - instrumentation
Embolization, Therapeutic - methods
Female
Humans
Interventional
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Nervous system
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Polyvinyls - administration & dosage
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiography, Interventional
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Summary:Three patients with spontaneous dural carotid-cavernous fistulas were treated by using a combination of detachable coils and Onyx liquid embolic agent. Cavernous sinus was accessed via the superior ophthalmic vein or inferior petrous sinus approach. In all cases, a complete angiographic closure of the fistulas was achieved with full recovery from neuro-ophthalmologic symptoms. This report suggests that the controlled and excellent penetration of Onyx is superb for blocking the intricate communication of dural carotid-cavernous fistulas.
ISSN:0195-6108
1936-959X
1432-1920