Efficacy of Cone Beam Computed Tomography in Treating Cavernous Sinus Dural Arteriovenous Fistula

被引:8
作者
Kadooka, Keisuke [1 ]
Tanaka, Michihiro [1 ]
Sakata, Yoshinori [1 ]
Ideguchi, Minoru [1 ]
Inaba, Maki [1 ]
Hadeishi, Hiromu [1 ]
机构
[1] Kameda Med Ctr, Dept Neurosurg, Chiba, Japan
关键词
Cavernous sinus; Cone beam computed tomography; Dural arteriovenous fistula; Embolization; Shunt point; TRANSARTERIAL ONYX EMBOLIZATION; TRANSVENOUS EMBOLIZATION; NERVE PALSY; MANAGEMENT; OCCLUSION;
D O I
10.1016/j.wneu.2017.10.026
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Exact identification of feeding arteries, shunt points, and draining veins is essential in treating cavernous sinus dural arteriovenous fistula (CS dAVF). In addition to digital subtraction angiography (DSA) and 3-dimensional rotational angiography (3DRA), high-resolution cone beam computed tomography (CBCT; especially 80-kv high-resolution cone beam computed tomography) have been performed in recent years. We evaluated the efficacy of CBCT in treating CS dAVF. METHODS: Eight CS dAVFs were treated with endovascular embolization between January 2013 and December 2016. We retrospectively examined these cases regarding information from DSA, 3DRA, and CBCT with contrast medium. RESULTS: Although all procedures can evaluate feeding arteries, shunt points, and draining veins, CBCT can provide the best definition of feeders and their course through the bony structures and the compartment of CS. Therefore, CBCT with placed microcatheter in the CS can reveal whether the microcatheter is set at the appropriate compartment to be embolized. CONCLUSIONS: The efficacy of CBCT in treating dAVF is illustrating the relationships among the bony structures and feeders, compartment of CS, and the position of the microcatheter. Detailed information obtained with CBCT can lead to fewer complications and more effective treatment.
引用
收藏
页码:328 / 332
页数:5
相关论文
共 24 条
[1]   3D C-Arm Conebeam CT Angiography as an Adjunct in the Precise Anatomic Characterization of Spinal Dural Arteriovenous Fistulas [J].
Aadland, T. D. ;
Thielen, K. R. ;
Kaufmann, T. J. ;
Morris, J. M. ;
Lanzino, G. ;
Kallmes, D. F. ;
Schueler, B. A. ;
Cloft, H. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2010, 31 (03) :476-480
[2]   Long-Term Outcome after Coil Embolization of Cavernous Sinus Arteriovenous Fistulas [J].
Bink, A. ;
Goller, K. ;
Luechtenberg, M. ;
Neumann-Haefelin, T. ;
Duetzmann, S. ;
Zanella, F. ;
Berkefeld, J. ;
de Rochemont, R. du Mesnil .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2010, 31 (07) :1216-1221
[3]   Angiographic computed tomography with selective microcatheterization in delineating surgical anatomy in the case of a dural arteriovenous fistula [J].
Eesa, Muneer ;
Sharma, Pranshu ;
Mitha, Alim Pyarali ;
Sutherland, Garnette Roy ;
Goyal, Mayank .
JOURNAL OF NEUROSURGERY, 2009, 111 (05) :916-918
[4]   Automated double-cone-beam CT fusion technique. Enhanced evaluation of glue distribution in cases of spinal dural arteriovenous fistula (SDAVF) embolisation [J].
Farago, Giuseppe ;
Caldiera, V. ;
Antozzi, C. ;
Bellino, A. ;
Innocenti, A. ;
Ciceri, E. .
EUROPEAN RADIOLOGY, 2017, 27 (05) :2200-2205
[5]   The road less traveled: transarterial embolization of dural arteriovenous fistulas via the ascending pharyngeal artery [J].
Gross, Bradley A. ;
Albuquerque, Felipe C. ;
Moon, Karam ;
McDougall, Cameron G. .
JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2017, 9 (01) :97-101
[6]  
HALBACH VV, 1989, AM J NEURORADIOL, V10, P377
[7]   Efficacy of DynaCT Digital Angiography in the Detection of the Fistulous Point of Dural Arteriovenous Fistulas [J].
Hiu, T. ;
Kitagawa, N. ;
Morikawa, M. ;
Hayashi, K. ;
Horie, N. ;
Morofuji, Y. ;
Suyama, K. ;
Nagata, I. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2009, 30 (03) :487-491
[8]   Adjunctive value of intra-arterial cone beam CT angiography relative to DSA in the evaluation of cranial and spinal arteriovenous fistulas [J].
Honarmand, Amir R. ;
Gemmete, Joseph J. ;
Hurley, Michael C. ;
Shalbani, Ali ;
Chaudhary, Neeraj ;
Pandey, Aditya S. ;
Bendok, Bernard R. ;
Ansari, Sameer A. .
JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2015, 7 (07) :517-523
[9]   Transarterial Onyx embolization of jugular foramen dural arteriovenous fistula with spinal venous drainage manifesting as myelopathy-a case report and review of the literature [J].
Jin, Hengwei ;
Lv, Xianli ;
Li, Youxiang .
INTERVENTIONAL NEURORADIOLOGY, 2016, 22 (05) :579-583
[10]  
Kim DJ, 2006, AM J NEURORADIOL, V27, P2078